Pseudoaneurysm of the Ascending Aorta Combined with Aortic Valve Infective Endocarditis following Cardiac Operations

Authors

  • Shengli Jiang
  • Tao Zhang
  • Bojun Li
  • Chonglei Rei
  • Tingting Chen
  • Lin Zhang
  • Changqing Gao

DOI:

https://doi.org/10.1532/HSF98.20101103

Abstract

Background and Objective: Aortic pseudoaneurysms are rare but life-threatening complications of aortic procedures. Operation on the femorofemoral bypass with hypothermic circulatory arrest has been the method of choice. Iatrogenic ascending aorta pseudoaneurysm combined with infective endocarditis of the aortic valve has never been reported.

Materials and Methods: We describe a case of a pseudoaneurysm of the ascending aorta at the site of an aortotomy site concomitant with infective endocarditis of the aortic valve. A contrast computed tomographic scan was the investigation technology of choice.

Results: The operation was performed on femorofemoral bypass without hypothermic circulatory arrest, which provided safe re-entry and an opportunity to replace the infected aortic valve with a mechanical prosthesis and to repair the aortic defect with a patch.

Conclusions: The ascending aorta pseudoaneurysm can be safely operated on with femorofemoral bypass without hypothermic cardiac arrest.

References

Apaydin AZ, Posacioglu H, Islamoglu F, Telli A. 2003. A practical tool to control bleeding during sternal reentry for pseudoaneurysm of the ascending aorta. Ann Thorac Surg 75:1037-8.nEmaminia A, Amirghofran AA, Shafa M, Moaref A, Javan R. 2009. Ascending aortic pseudoaneurysm after aortic valve replacement: Watch the tip of the cardioplegia cannula! J Thorac Cardiovasc Surg 137:1285-6.nKatsumata T, Moorjani N, Vaccari G, Westaby S. 2000. Mediastinal false aneurysm after thoracic aortic surgery. Ann Thorac Surg 70:547-52.nSabri MN, Henry D, Wechsler AS, DiSciascio G, Vetrovec GW. 1991. Late complications involving the ascending aorta after cardiac surgery: recognition and management. Am Heart J 121:1779-83.nSullivan KL, Steiner RM, Smullens SN, Griska L, Meister SG. 1998. Pseudoaneurysm of the ascending aorta following cardiac surgery. Chest 93:138-43.n

Published

2011-02-23

How to Cite

Jiang, S., Zhang, T., Li, B., Rei, C., Chen, T., Zhang, L., & Gao, C. (2011). Pseudoaneurysm of the Ascending Aorta Combined with Aortic Valve Infective Endocarditis following Cardiac Operations. The Heart Surgery Forum, 14(1), E70-E72. https://doi.org/10.1532/HSF98.20101103

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