1. Emergent Endovascular Repair of a Ruptured Ascending Aorta Pseudoaneurysm With Thoracic Aortic Stent Graft
- Author
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Santiago Salazar, Carlos Augusto Homem de Magalhães Campos, Marcelo Harada Ribeiro, Andrés Marín, Jhon Castrillon, James Nieto, Franklin Hanna Quesada, Franklin Hanna Rodríguez, Francesco Moroni, Lorenzo Azzalini, Luis Augusto Palma Dallan, and Diego Mejía
- Subjects
medicine.medical_specialty ,Percutaneous ,business.industry ,Extracorporeal circulation ,General Medicine ,Anastomosis ,medicine.disease ,Cardiac surgery ,Surgery ,Pseudoaneurysm ,surgical procedures, operative ,medicine.anatomical_structure ,medicine.artery ,Occlusion ,Ascending aorta ,cardiovascular system ,medicine ,cardiovascular diseases ,Cardiology and Cardiovascular Medicine ,business ,Artery - Abstract
Pseudoaneurysm of the ascending aorta is a rare complication of cardiac surgery due to tissue degeneration at the site of graft anastomosis , aortotomy, or extracorporeal circulation cannulation . We describe the case of a patient who developed an ascending aorta pseudoaneurysm after coronary artery bypass graft surgery , which initially required percutaneous closure with an atrial septal defect occlusion device. However, three years later the patient presented again with active external bleeding secondary to pseudoaneurysm enlargement and rupture, which was emergently repaired by percutaneous endovascular repair with a thoracic aortic stent graft. At one-year follow-up the patient is in good conditions and asymptomatic.
- Published
- 2022