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Outcomes of surgical repairs for thoracic aortic pseudoaneurysms after cardiovascular surgery
Author(s) -
Fukunaga Naoto,
Koyama Tadaaki
Publication year - 2016
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.12788
Subject(s) - medicine , surgery , pseudoaneurysm , asymptomatic , thoracic aorta , median sternotomy , complication , aorta
AIM A thoracic aortic pseudoaneurysm is a life‐threatening complication after cardiovascular surgery. We reviewed the short‐ and long‐term outcomes following the surgical repair of thoracic aortic pseudoaneurysms. METHODS We reviewed 20 patients (mean age, 63.3 ± 10.8 years) who underwent surgical repair for a thoracic aortic pseudoaneurysm after cardiovascular surgery over the past 17 years. The mean follow‐up period was 5.7 ± 4.2 years and the rate of follow‐up was 90.0%. RESULTS Ten patients were asymptomatic, and the remaining had preoperative symptoms (rupture, n = 4; dyspnea, n = 4; hemoptysis, n = 2; hoarseness, n = 1; chest pain, n = 1; anemia, n = 1; and jugular venous distension, n = 1). The interval between previous and present surgery was 14.9 ± 8.0 years. Although aortic injury with massive bleeding occurred during re‐sternotomy, there were no hospital deaths, and all patients were discharged from our hospital. Late survival rates at 5 years and 10 years were 83.3% ± 8.8% and 72.9% ± 12.4%, respectively. There were five late deaths, and no aorta‐related deaths. CONCLUSIONS Outcomes of surgical repair of thoracic aortic pseudoaneurysms are satisfactory. However, even in asymptomatic patients, lifelong patient follow‐up is required.