| A Case of Inflammatory Pseudoaneurysm of the Ascending Aorta |
| Ryuichi Takahashi |
Issei Kiso |
Atsu Mori |
| Yoshito Inoue |
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(Department of Cardiovascular Surgery, Saiseikai Utsunomiya Hospital, Utsunomiya, Japan)
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A 74-year-old man had an inflammatory pseudoaneurysm of the ascending aorta.
He was admitted to a local hospital because of loss of appetite. Following
intravenous hyperalimentation, he was placed under ventilatory support
because of acute respiratory failure. Since his high fever and respiratory
failure continued, he was transferred to our hospital. Computed tomography
revealed a sealed rupture of an aneurysm in the ascending aorta. During
the operation, we identified the ascending aortic aneurysm but it was very
tightly attached to the surrounding wall in the perianeurysmal space. To
avoid excessive hemorrhage, we closed the communication between the aneurysm
and the aorta with a Dacron graft patch under deep hypothermia with circulatory
arrest. He was discharged 42 days after operation without any complications.
A pathological evaluation of the aneurysmal wall revealed an inflammatory
pseudoaneurysm with a thick and inflammatory infiltration in the adventitia.
Jpn. J. Cardiovasc. Surg. 29: 418-421 (2000) |
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