Huge Aortic Pseudoaneurysm Arising from the Aorta-Saphenous Vein Graft Anastomosis after Coronary Artery Bypass Grafting

Şahin, Müslüm; Yazıcıoğlu, Mehmet Vefik; Sarikaya, Sabit; Türkmen, Mustafa

doi:10.1532/hsf98.20131018

Cited by 2 publications

(1 citation statement)

References 3 publications

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“…Proximal aortic pseudoaneurysm is a well-described albeit rare complication of open cardiac surgery, having been described as originating from aortic anastomoses, aorta-saphenous vein graft anastomoses, and aortotomy closures as a result of fragile aortic tissues or infection. [3][4][5] Use of bioglue has been involved in the development of postsurgical pseudoaneurysm, an inflammatory reaction to the bioglue itself potentially being at fault. 6 A previously published review of the literature identified 335 cases of ascending aortic pseudoaneurysm, almost all case reports, between 1980 and 2014 and involved previous aortic or cardiac surgery in 76% of cases.…”

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm as a Late Complication of Hybrid Aortic Arch Repair

Rosu

Beaulieu

Cartier

et al. 2016

Innovations�(Phila)

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Hybrid aortic arch repair is increasingly used for the management of aortic arch aneurysm. Pseudoaneurysm is a newly described late complication of this procedure. A 57-year-old man underwent emergent supra-aortic debranching and aortic arch stent grafting after rupture of an arch aneurysm. Three years later, the patient presented with a pseudoaneurysm at the junction between the stent graft's proximal landing zone and the origin of the debranching graft. At reoperative repair, the proximal stent graft had eroded through the aortic wall at the junction of the endograft proximal landing zone and the proximal anastomosis of the debranching graft. The presence of a dilated, fragile ascending aorta at the initial procedure seemed to be a risk factor for development of the pseudoaneurysm. Replacement of the ascending aorta combined with supra-aortic debranching has become an accepted strategy in hybrid arch repair to establish a suitable landing zone for the endograft.

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