Staged treatments of multiple pseudoaneurysms after total arch replacement

Abstract

Background: An aortic pseudoaneurysm after cardiovascular surgery can be fatal.Methods/Results: Here, we describe the staged successful treatments of three pseudoaneurysms in a 77-year-old female patient who underwent total arch replacement and coronary artery bypass grafting 5 years ago. Computed tomography revealed three pseudoaneurysms: in the distal anastomosis of the total arch replacement, in the anastomosis of the left common carotid artery, and in the proximal anastomosis of the saphenous vein graft. Endovascular treatment and surgical repair were performed to treat these three pseudoaneurysms.Discussion: An aortic pseudoaneurysm is a rare complication after cardiac or aortic surgery. Here, we present a case of combined endovascular and surgical repairs of three pseudoaneurysms in one patient. K E Y W O R D Saorta and great vessels

Hybrid Repair of a Common Carotid Pseudoaneurysm and Concomitant Internal Carotid Stenosis With Retrograde Stenting and Carotid Endarterectomy

“…1 Although they usually present post carotid endarterectomy (CEA), pseydoaneurysms at a graft-carotid anastomosis post aortic surgery are extremely rare. 2 Progressive growth of such a pseudoaneurysm could lead to rupture, distal embolism or local compression, with devastating consequences. 3 The risk of stroke with medical management is >5% and is associated with an even higher mortality.…”