Endovascular Management of Pseudoaneurysm Formation in the Ascending Aorta Following Lung Transplantation

2012 ◽  
Vol 19 (1) ◽  
pp. 52-57 ◽  
Author(s):  
David L. Joyce ◽  
Steve K. Singh ◽  
Hari R. Mallidi ◽  
Michael D. Dake
Keyword(s):  
Lung Transplantation ◽  
Ascending Aorta ◽  
Endovascular Management ◽  
Pseudoaneurysm Formation

scholarly journals Ascending aorta graft pseudoaneurysm and aortobronchial fistula caused by a fractured sternal wire: a case report

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Ahmad Ali Amirghofran ◽  
Elahe Nirooei ◽  
Mohammad Ali Ostovan
Keyword(s):  
Unusual Case ◽  
Preventive Measures ◽  
Prosthetic Graft ◽  
Ascending Aorta ◽  
Dacron Graft ◽  
Thoracoabdominal Aorta ◽  
Case Presentation ◽  
Pseudoaneurysm Formation ◽  
Aortobronchial Fistula ◽  
History Of

Abstract Background Pseudoaneurysm of ascending aorta is a rare but serious complication of cardiovascular surgeries and it infrequently occurs in the normal prosthetic graft materials. We share our experience with an unusual case of ascending aorta Dacron graft pseudoaneurysm caused by a fractured sternal wire. Case presentation A 34-year-old man, known case of Marfan syndrome, with history of two prior aortic surgeries for aneurysm of ascending aorta, arch and thoracoabdominal aorta, presented with hemoptysis. The hemoptysis originated from an aortobronchial fistula secondary to a huge ascending aorta Dacron graft pseudoaneurysm. The graft erosion and subsequent pseudoaneurysm was caused by a fractured sternal wire. Surgical repair of the pseudoaneurysm was performed successfully and a Gore-tex patch was placed behind the sternum over the graft to prevent further direct contact of the wire and the graft. Conclusion Sternal wires can damage the adjacent vascular grafts and lead to fatal complications such as pseudoaneurysm formation. Thus, preventive measures such as using sternal bands and placing a covering layer between the sternal wires and aortic grafts are recommended in patients with dilated or replaced ascending aorta.

scholarly journals Interventional Closure of a Large Pseudoaneurysm of the Ascending Aorta in a Patient after Lung Transplantation

CASE ◽  
2019 ◽  
Vol 3 (6) ◽  
pp. 263-266 ◽  
Author(s):  
Tobias Weinberger ◽  
Michael Nabauer ◽  
Steffen Massberg ◽  
Joerg Hausleiter
Keyword(s):  
Lung Transplantation ◽  
Ascending Aorta ◽  
Interventional Closure

Reoperations for Aneurysmal Disease of the Ascending Aorta, Aortic Arch, and Descending Aorta: Their Causes and Operative Results

1994 ◽  
Vol 2 (2) ◽  
pp. 95-100 ◽  
Author(s):  
Shigeaki Aoyagi ◽  
Hidetoshi Akashi ◽  
Keiichiro Tayama ◽  
Yuji Hanamoto ◽  
Kazunari Yamana ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Aortic Arch ◽  
Ascending Aorta ◽  
Aortic Arch Aneurysm ◽  
Definitive Treatment ◽  
Initial Operation ◽  
Annuloaortic Ectasia ◽  
Pseudoaneurysm Formation ◽  
Aortic Pathology ◽  
Arch Aneurysm

Between 1984 and 1993, 20 patients underwent reoperation for the thoracic aorta or ascending aorta and aortic valve. There were 14 male and 6 female patients who ranged in age from 28 to 70 years with a mean of 53.2 years. The mean interval between initial operation and the 2nd operation was 70.4 months. Of the 20 patients, 6 had stigmata of Marfan's syndrome. The primary aortic pathology requiring initial operation was annuloaortic ectasia in 10 patients, aortic valvular disease in 5, aortic dissection in 3, and mega aorta syndrome, aortic aneurysm in multiple segments, or aortic arch aneurysm in 1 each. Cause of reoperation was pseudoaneurysm formation at suture lines in the ascending aorta in 6 patients, new or progressive dilatation in the remaining aortic segment in 5, new or persistent aortic dissection in 4, graft infection in 2, and recurrent aortic arch aneurysm in 1. The remaining 2 patients received a planned two-stage operation for multiple aneurysms or mega aorta syndrome. Six patients died early after reoperation, yielding a hospital mortality rate of 30%; however, 3 of the 6 deaths were related to a compromised preoperative clinical condition and 1 to perioperative contamination. Two operative deaths (10%) were related to operative techniques. Results suggest application of separate grafts for coronary artery reattachment, as in the Cabrol or Piehler techniques, or the aortic button technique for aortic root replacement, may help eliminate pseudoaneurysm formation, which is one of the major complications after operations on the ascending aorta. It is also suggested that early diagnosis and prompt operative treatment for recurrent or residual aneurysmal diseases of the aorta may be essential for successful definitive treatment.

Management of mycotic rupture of the ascending aorta after heart-lung transplantation

1990 ◽  
Vol 50 (6) ◽  
pp. 982-983 ◽  
Author(s):  
Johannes Albes ◽  
Axel Haverich ◽  
Joachim Freihorst ◽  
Horst von ver Hardt ◽  
Frauke Manthey-Stiers
Keyword(s):  
Lung Transplantation ◽  
Ascending Aorta

scholarly journals Pseudoaneurysm Formation of the Ascending Aorta

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Agathos E Andreas ◽  
Anastasiadis George ◽  
Saridaki Angeliki
Keyword(s):  
Ascending Aorta ◽  
Pseudoaneurysm Formation

scholarly journals Mycotic Pseudoaneurysm Formation at the Cannulation Site in the Ascending Aorta

Cureus ◽  
2021 ◽  
Author(s):  
Arminder Singh ◽  
William Sanchez-Garcia ◽  
Robert Maughan ◽  
Divyang R Patel ◽  
Amol Bahekar
Keyword(s):  
Ascending Aorta ◽  
Pseudoaneurysm Formation ◽  
Mycotic Pseudoaneurysm ◽  
Cannulation Site
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