Reoperation for Giant False Aneurysm of the Thoracic Aorta: How to Reenter the Chest?

Bachet, Jean; Pirotte, Manuel; Laborde, F; Guilmet, D

doi:10.1016/j.athoracsur.2006.12.044

Cited by 45 publications

(39 citation statements)

References 15 publications

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“…Successful re-sternotomy using comparable preemptive techniques for selective cerebral perfusion in patients with large pseudoaneurysms have already been described [2,7]. Although in some cases-where direct carotid cannulation was used for selective cerebral perfusion-adverse neurologic events were reported, our patient did not suffer from any neurological deficit, neither temporary nor permanent.…”

Section: Two-stage Procedures For Infected Aortic Graft Pseudoaneurysmmentioning

confidence: 75%

“…Reoperation for an aortic pseudoaneurysm becomes necessary after up to 0.5% of all cardiovascular surgical cases, and the initial approach for re-entering the chest is of major importance [2]. In our case the right carotid artery was used for direct arterial cannulation and antegrade cerebral perfusion.…”

Section: Two-stage Procedures For Infected Aortic Graft Pseudoaneurysmmentioning

confidence: 99%

“…In coexistence with prosthetic pseudoaneurysm, chest entry for reoperation is complicated due to the potential danger of aortic injury [2]. Current treatment of choice for infected prosthetic pseudoaneurysm includes aggressive graft resection with extensive debridement and negative-pressure wound therapy [1,3].…”

Section: Introductionmentioning

confidence: 99%

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Two-Stage Procedure for Infected Aortic Graft Pseudoaneurysm: 10-Year Follow Up after Omental Prosthesis Wrapping

Aspern¹,

Etz²,

Mohr³

et al. 2015

aorta

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Prosthetic graft infections with mediastinitis following aortic surgery are rare, yet represent grave complications yielding high morbidity and mortality. We present the case of a 57-year-old female patient with past history of emergent surgery for iatrogenic Type A dissection treated by supracoronary ascending aortic replacement. Four months after the initial surgery, a sternal fistula had formed and due to severe bleeding emergent reoperation was required. Imaging and pathology on admission revealed an infected pseudoaneurysm at the distal aortic prosthesis and mediastinitis with met hicillin-resistant Staphylococcus aureus. Rescue surgery was performed by means of a two-stage approach, with extensive debridement, graft replacement and continuous antiseptic lavage in a first step and an omental wrapping of the new prosthesis in a second stage 24 hours later. During 10 years of follow-up, no recurrent infection occurred. The operative approach and general considerations for management of infected pseudoaneurysms are discussed.

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Section: Two-stage Procedures For Infected Aortic Graft Pseudoaneurysmmentioning

confidence: 75%

Section: Two-stage Procedures For Infected Aortic Graft Pseudoaneurysmmentioning

confidence: 99%

See 1 more Smart Citation

Two-Stage Procedure for Infected Aortic Graft Pseudoaneurysm: 10-Year Follow Up after Omental Prosthesis Wrapping

Aspern¹,

Etz²,

Mohr³

et al. 2015

aorta

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show abstract

“…9) In 2007, Bachet and associates described direct bilateral carotid cannulation in 5 patients, stating that the technique preserves cerebral circulation and maintains systemic CPB flow. 8) However, patients in both series experienced neurologic sequelae, and therefore carotid artery cannulation has not attained widespread use. Hypothermic circulatory arrest, which is used to control the depletion of intravascular volume and to enable the preservation of cerebral function, provides time to perform the mediastinal dissection and to control the aortic disruption.…”

Section: Discussionmentioning

confidence: 99%

“…Other authors have described their methods for instituting CPB before sternotomy in these instances. [7][8][9] The best approach to CBP remains undefined and depends upon the site and size of the ascending aortic pseudoaneurysm. Femoral or axillary arterial cannulation for CPB has been suggested.…”

Section: Discussionmentioning

confidence: 99%

Surgical Management of a Ruptured Pseudoaneurysm Late after Total Arch Replacement with Omentoplasty

Morimoto

Sugimoto

Masunaga

et al. 2012

ATCS

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Aortic pseudoaneurysm is a rare, life-threatening complication after cardiac or aortic surgery. In this article, we report reoperation on an 86-year-old man undergoing total arch replacement and omentoplasty for an infectious aortic aneurysm, 5 years previously. He was transferred to our hospital and fell into shock. Prompt drainage of the right-side pleural cavity manifested 2000 ml of blood. Computed tomography revealed contrast extravasation into a pseudoaneurysm, which arose from the proximal anastomotic site of the ascending aorta. The patient underwent emergent surgery that included an extremely careful dissection of the omentum and pericardial adherences, through the re-sternotomy. The patient recovered without neurological sequelae.

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Endovascular Treatment of Ascending Aortic Pseudoaneurysm

Tuchek

Schwartz

Ali

et al. 2013

Endovascular Interventions

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Reoperation for Giant False Aneurysm of the Thoracic Aorta: How to Reenter the Chest?

Cited by 45 publications

References 15 publications

Two-Stage Procedure for Infected Aortic Graft Pseudoaneurysm: 10-Year Follow Up after Omental Prosthesis Wrapping

Two-Stage Procedure for Infected Aortic Graft Pseudoaneurysm: 10-Year Follow Up after Omental Prosthesis Wrapping

Surgical Management of a Ruptured Pseudoaneurysm Late after Total Arch Replacement with Omentoplasty

Endovascular Treatment of Ascending Aortic Pseudoaneurysm

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