Transfemoral control of ruptured aortic pseudoaneurysm at aortic root reoperation

Pettersson, Gösta; Nores, Marcos; Gillinov, A. Marc

doi:10.1016/s0003-4975(03)01133-0

Cited by 17 publications

(9 citation statements)

References 3 publications

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“…Other investigators have suggested the use of a left atrial vent via a left thoracotomy. 10) However, placing a vent does not guarantee the avoidance of ventricular distention in the presence of severe aortic insufficiency. In addition, vent placement compounds the risk of aneurysmal rupture and prolongs the surgical procedure.…”

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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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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“…Maselli and colleagues 7 used intraaortic endoclamping prior to circulatory arrest in order to prevent the left ventricle from dilating in six patients with pseudoaneurysm and AR with good results. A similar technique was described by Pettersson and colleagues 6 using a transfemoral balloon aortic occlusion catheter, with percutaneous placement of a retrograde cardioplegic catheter in the jugular vein to achieve myocardial protection. D’Attellis and colleagues reported use of Port‐Access technology 8 to obtain endoaortic cross‐clamping, left ventricular venting, and cardioplegic administration before circulatory arrest and resternotomy.…”

Section: Discussionmentioning

confidence: 99%

“…This is particularly relevant in the presence of aortic regurgitation (AR). Several approaches and maneuvers to decompress the ventricle under such conditions have been suggested 6‐9 …”

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confidence: 99%

Resternotomy Using Hypothermic Arrest

Möller

Líška

Lockowandt

et al. 2010

Journal of Cardiac Surgery

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“…Inserting a balloon catheter retrogradely through the femoral artery to perform distal aortic occlusion can be diffi cult or impossible and may cause aortic dissection or perforation [12,14] . Imaging diagnostics are often required to guarantee effective placement of the balloon catheter during transfemoral aortic occlusion [13,15] . Transbrachial aortic occlusion by balloon catheter can be performed in specifi c cases without imaging diagnostics, however this procedure entails a higher risk of arterial embolism [16] .…”

Section: Discussionmentioning

confidence: 99%

Development of a Special Balloon Occlusion Device to Prevent Adverse Events in High-Risk Patients during Open Aortic Surgery

Weigang¹,

Luehr²,

Samson³

et al. 2005

Eur Surg Res

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Objective: To prevent clamp injury that may occur during aortic surgery, we aimed to develop a special balloon occlusion (BO) device to lower the thromboembolic risk in patients with severe atherosclerosis during aortic aneurysm repair. Methods: The study comprised two test phases: a laboratory-testing series focussing on flexible artificial aortas, and an experimental series conducted on 10 pigs. Results: The device proved to be effective during the laboratory tests and the experiments on pigs. No complications such as intraoperative balloon rupture, dislocation, or occlusion leaks occurred. No damage to the aortic vessels was observed in further histological examinations. Conclusions: This BO device has the potential to become an alternative to cross-clamping for vascular surgeons in patients with severely atherosclerotic vessels.

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Transfemoral control of ruptured aortic pseudoaneurysm at aortic root reoperation

Cited by 17 publications

References 3 publications

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

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

Resternotomy Using Hypothermic Arrest

Development of a Special Balloon Occlusion Device to Prevent Adverse Events in High-Risk Patients during Open Aortic Surgery

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