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Staged treatments of multiple pseudoaneurysms after total arch replacement
Author(s) -
Kitada Yuichiro,
Okamura Homare,
Arakawa Mamoru,
Miyagawa Atsushi,
Adachi Hideo
Publication year - 2020
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.14361
Subject(s) - medicine , pseudoaneurysm , anastomosis , surgery , complication , aortic arch , radiology , bypass grafting , common carotid artery , aneurysm , artery , aorta , carotid arteries
Background An aortic pseudoaneurysm after cardiovascular surgery can be fatal. Methods/Results Here, we describe the staged successful treatments of three pseudoaneurysms in a 77‐year‐old female patient who underwent total arch replacement and coronary artery bypass grafting 5 years ago. Computed tomography revealed three pseudoaneurysms: in the distal anastomosis of the total arch replacement, in the anastomosis of the left common carotid artery, and in the proximal anastomosis of the saphenous vein graft. Endovascular treatment and surgical repair were performed to treat these three pseudoaneurysms. Discussion An aortic pseudoaneurysm is a rare complication after cardiac or aortic surgery. Here, we present a case of combined endovascular and surgical repairs of three pseudoaneurysms in one patient.