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Case Reports
Hybrid treatment of an ascending aortic pseudoaneurysm following multiple sternotomies.
- Vito Giovanni Ruggieri, Romain Malezieux, Najeebullah Bina, and Jean-Pierre Favre.
- Cardiovascular Surgery Department, University Hospital, Rennes, France. gianvito_ruggieri@libero.it
- J. Vasc. Surg. 2010 Mar 1; 51 (3): 729-31.
AbstractAscending aortic pseudoaneurysm following prior cardiac or aortic surgery is a rare entity that requires reoperation. Surgical repair is a complex procedure associated with high operative mortality. We report the case of a 76-year-old male patient with an ascending aortic pseudoaneurysm developing from distal anastomosis of a Dacron aorto-aortic prosthesis. This high-risk patient had previously undergone multiple cardiovascular operations and was treated by performing an extra-anatomic bypass between the descending thoracic aorta and supra-aortic vessels, followed by endovascular stent graft placement, avoiding median re-sternotomy.
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