Postoperative thoracic aortic false aneurysm is a challenging complication of aortic surgery. We describe our surgicalapproach 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.

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

Greco, Ernesto;
2019-01-01

Abstract

Postoperative thoracic aortic false aneurysm is a challenging complication of aortic surgery. We describe our surgicalapproach 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.
2019
aneurysm
aortic aneurysm
blood vessel prosthesis implantation
false
postoperative complications
reoperation
thoracic
File in questo prodotto:
File Dimensione Formato  
Greco_Get-Out_2019.pdf

non disponibili

Licenza: NON PUBBLICO - Accesso privato/ristretto
Dimensione 627.25 kB
Formato Adobe PDF
627.25 kB Adobe PDF   Visualizza/Apri   Richiedi una copia

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.14092/8389
 Attenzione

Attenzione! I dati visualizzati non sono stati sottoposti a validazione da parte dell'ateneo

Citazioni
  • ???jsp.display-item.citation.pmc??? ND
social impact