Eur J Cardiothorac Surg 2006;30:556
© 2006 Elsevier Science NL
Images in cardio-thoracic surgery |
Descending aortic pseudoaneurysm of uncertain etiology: to stentgraft or to operate?
Ranjit P. Deshpande,
Filip P. Casselman*,
Raphael De Geest,
Hugo Vanermen
OLV Clinic, Department of Cardiovascular & Thoracic Surgery, 164 Moorselbaan, Aalst 9300, Belgium
Received 5 February 2006;
received in revised form 9 May 2006;
accepted 11 May 2006.
* Corresponding author. Tel.: +32 53 72 4599; fax: +32 53 72 4552. (Email: filip.casselman{at}olvz-aalst.be).
Key Words: Aortic pseudoaneurysm
A 40-year-old man had CT scan (Fig. 1
) for abdominal pain. Five years ago he underwent gastrectomy for high grade sarcoma complicated with abdominal sepsis. Screening proved tumour negativity. Thoracotomy (FC) was preferred over stentgrafting to establish etiology (mycotic or neoplastic), confirm histology, and perform direct aortic anastomosis.
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Fig. 1. CT scan of descending aortic pseudoaneurysm (a) with escape of contrast due to infection or tumour erosion, (b) residual contrast with normal aorta distally and (c) post-operative CT scan of diseased aorta replaced with interposition graft.
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