| A Case of Pseudoaneurysm of the
Ascending Aorta Found at Onset of Acute Aortic Dissection after
Aortic Valve Replacement |
(Department of Thoracic and Cardiovascular Surgery,
Wakayama Medical University, Wakayama, Japan)
| Kentaro Honda |
Keiichi Fujiwara |
Hiroyoshi Komai |
| Syuji Yamamoto |
Yoshitaka Okamura |
|
|
A pseudoaneurysm of the ascending
aorta is a complication found in aortic valve surgery. A 66-year-old
man who had a previous history of aortic valve replacement due
to infectious endocarditis was admitted to our hospital suffering
from chest pain. Follow-up chest X-ray and transthoracic echocardiogram
had revealed no findings of pseudoaneurysm during the intervening
period. At admission, computed tomographic scan and transesophageal
echocardiogram each showed a Type A acute aortic dissection and
a pseudoaneurysm of the ascending aorta. Under cardiopulmonary
bypass and deep hypothermic circulatory arrest, an ascending
aortic graft replacement was carried out uneventfully. The patient
is well 14 months postoperatively. Postoperative examinations
following aortic surgery should be performed not only from the
view point of cardiac function, but also from that of a pseudoaneurysm.
Jpn. J. Cardiovasc. Surg. 33: 185-188 (2004) |
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