Two Successful Reoperations for Ascending Aortic Pseudoaneurysm Long after Cardiovascular Surgery

(Department of Thoracic and Cardiovascular Surgery, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan)

Ryoko Arakaki Satoshi Yamashiro Chisato Kamiya
Tatsuya Maeda Yuya Kise Yuji Morishima
Katsuya Arakaki Yukio Kuniyoshi
We describe two repeated operations to treat ascending aortic pseudoaneurysms. The first was emergency patch closure of the ascending aorta due to impending rupture 8 years after an operation for type I aortic dissection under hypothermic circulatory arrest. The second was endovascular repair using a fenestrated stent graft 7 years after coronary artery bypass grafting. No specific guidelines have been established regarding optimal management for such patients. We believe that individualized management is safer, especially for repeated operations.
  Jpn. J. Cardiovasc. Surg. 40:298-301(2011)

Keywords:coronary artery bypass grafting, hypothermic circulatory arrest, pseudoaneurysm, endovascular aortic repair