CC BY 4.0 · Aorta (Stamford) 2014; 02(05): 207-210
DOI: 10.12945/j.aorta.2014.14-026
What I Did
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Second Redo for Composite Graft Pseudoaneurysm with Transcutaneous Rupture

Mikael Péterffy
1   Department of Molecular Medicine and Surgery, Cardiovascular Surgery Unit, The Karolinska Institute and Karolinska University Hospital, Stockholm, Sweden
,
Christian Olsson
1   Department of Molecular Medicine and Surgery, Cardiovascular Surgery Unit, The Karolinska Institute and Karolinska University Hospital, Stockholm, Sweden
› Author Affiliations
Further Information

Publication History

09 April 2014

20 August 2014

Publication Date:
24 September 2018 (online)

Abstract

Six months after a composite graft redo operation repairing two pseudoaneurysms at the distal suture line and the right coronary artery, respectively, a patient returned asymptomatic and in good general condition but with new presternal bulges. Computed tomography and angiography diagnosed a new pseudoaneurysm of the left coronary artery, and on frank rupture, acute re-repair was undertaken with the aid of presternotomy hypothermic circulatory arrest. Temporary postoperative neurological dysfunction subsided and recovery was otherwise uneventful.

 
  • REFERENCES

  • 1 El-Sayed AhmadA, Papadopoulos N, Moritz A, Zierer A. Treatment of a giant ascending aortic pseudoaneurysm presenting as a presternal pulsatile protrusion almost perforating through the skin. Interact Cardiovasc Thorac Surg 2013; 16: 903-905 . 10.1093/icvts/ivt055
  • 2 Möller F, Liska J, Lockowandt U, Samuelsson S, Franco-Cereceda A. Resternotomy using hypothermic circulatory arrest. J Card Surg 2010; 25: 372-376 . 10.1111/j.1540-8191.2010.01014.x