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Repair of ascending aortic pseudoaneurysm eroding through the sternum
Author(s) -
Sulaiman Bashir Hasan,
Fazal Wahab Khan,
Shiraz Hashmi,
Muhammad Usman Tariq,
Gul Majid Khan
Publication year - 2017
Publication title -
asian cardiovascular and thoracic annals
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.203
H-Index - 27
eISSN - 1816-5370
pISSN - 0218-4923
DOI - 10.1177/0218492317707626
Subject(s) - medicine , sternum , pseudoaneurysm , median sternotomy , ascending aorta , pericardium , surgery , apex (geometry) , aortic valve , cardiology , aneurysm , anatomy , aorta
In reoperation for an ascending aortic pseudoaneurysm eroding through the sternum, a left ventricular vent allows careful unhurried sternal division under deep hypothermic circulatory arrest. We repaired ascending aortic pseudoaneurysms in 2 patients who had undergone aortic valve implantation 6 and 21 months earlier. A minithoracotomy was made in the left 5th intercostal space, and a vent was placed in the left ventricular apex. Repair was accomplished with a bovine pericardial patch reinforced with a Teflon felt strip. Both patients made an uneventful recovery with good functional status at discharge at the 8- and 18-month follow-up.

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