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

Ernesto Greco, Valeria Santamaria, Mizar D'Abramo, Marco Totaro, Giacomo Frati, Fabio Miraldi

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Abstract

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.

Original languageEnglish
Pages (from-to)104-107
JournalAsian Cardiovascular and Thoracic Annals
Volume28
Early online dateOct 11 2019
DOIs
Publication statusPublished - 2020

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