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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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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
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Language:English
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container_title Asian cardiovascular & thoracic annals
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creator Greco, Ernesto
Santamaria, Valeria
D’Abramo, Mizar
Totaro, Marco
Frati, Giacomo
Miraldi, Fabio
description 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.
doi_str_mv 10.1177/0218492319883528
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title Get out of trouble during redo surgery for false aneurysm of the ascending aorta
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