Get out of trouble during redo surgery for false aneurysm of the ascending aorta

Postoperative thoracic aortic false aneurysm is a challenging complication of aortic surgery. We describe our surgical approach for an 8-cm thoracic aorta false aneurysm in a 59-year-old woman who had previously undergone aortic surgery. Surgery must be planned carefully because massive hemorrhage d...

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Bibliographic Details
Published in:Asian cardiovascular & thoracic annals 2020-02, Vol.28 (2), p.104-107
Main Authors: Greco, Ernesto, Santamaria, Valeria, D’Abramo, Mizar, Totaro, Marco, Frati, Giacomo, Miraldi, Fabio
Format: Article
Language:English
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Summary:Postoperative thoracic aortic false aneurysm is a challenging complication of aortic surgery. We describe our surgical approach for an 8-cm thoracic aorta false aneurysm in a 59-year-old woman who had previously undergone aortic surgery. Surgery must be planned carefully because massive hemorrhage during resternotomy is a dreadful complication of postoperative false aneurysm surgery. We decided to start cardiopulmonary bypass before resternotomy and use a ventricular vent from the apex, an endo-vent from the pulmonary artery, and an endo-balloon with antegrade blood cardioplegia. We successfully performed the procedure without profound hypothermia and circulatory arrest and with a low risk of hemorrhage.
ISSN:0218-4923
1816-5370
DOI:10.1177/0218492319883528