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Surgical management of a pulsatile chest wall mass secondary to an ascending aortic aneurysm in a patient with bovine arch
Author(s) -
Chen Stacey,
Smith Deane E.,
Lester Lynette,
Galloway Aubrey C.
Publication year - 2021
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.15104
Subject(s) - medicine , pulsatile flow , pseudoaneurysm , aortic arch , sternum , surgery , aortic aneurysm , aneurysm , dissection (medical) , chest pain , radiology , aortic dissection , ascending aorta , cardiology , aorta
Ascending aortic pseudoaneurysms are rare, but life‐threatening conditions, that often require intervention. While endovascular techniques have advanced significantly, the majority of these clinical scenarios preclude endovascular options and the primary treatment modality remains open surgical repair. Repair of an aortic pseudoaneurysm eroding through the sternum resulting in a pulsatile chest wall mass is technically challenging. We report the successful repair of a large ascending aortic pseudoaneurysm in a 62‐year‐old male with bovine arch anatomy and prior Type A dissection repair, presenting with contained rupture and a pulsatile chest wall mass.