Pseudoaneurysm Fistulated into the Right Atrium after Double Valve Replacement

Authors

  • Hiromu Kehara Department of Cardiovascular Surgery, Nagano Red Cross Hospital, Nagano
  • Tamaki Takano Department of Cardiovascular Surgery, Nagano Red Cross Hospital, Nagano
  • Kazunori Komatsu Department of Cardiovascular Surgery, Shinshu University School of Medicine, Matsumto
  • Takamitsu Terasaki Department of Cardiovascular Surgery, Nagano Red Cross Hospital, Nagano
  • Kenji Okada Department of Cardiovascular Surgery, Shinshu University School of Medicine, Matsumto

DOI:

https://doi.org/10.1532/hsf.1371

Abstract

We discuss a rare case of an ascending aorta pseudoaneurysm fistulating into the right atrium following prior aortic and mitral valve replacement. Transthoracic echocardiography and computed tomography revealed a pseudoaneurysm of the ascending aorta attached to the right atrium with fistulous communication. The pseudoaneurysm arose from the center of the former aortotomy. Emergency remedian sternotomy was performed without aneurysmal injury and with exposure of the left femoral artery and femoral vein. Aneurysmal resection and ascending aorta repair were performed without complication. Exposing peripheral vessels, and initiating cardiopulmonary bypass only after reentry, might be effective in resternotomy to approach ascending aorta pseudoaneurysms.

Published

2015-08-30

How to Cite

Kehara, H., Takano, T., Komatsu, K., Terasaki, T., & Okada, K. (2015). Pseudoaneurysm Fistulated into the Right Atrium after Double Valve Replacement. The Heart Surgery Forum, 18(4), E143-E145. https://doi.org/10.1532/hsf.1371

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