Eur J Cardiothorac Surg 2008;33:739. doi:10.1016/j.ejcts.2008.01.028
Copyright © 2008, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
Images in cardio-thoracic surgery |
Ascending aortic pseudoaneurysm following open heart surgery
Karthik Ramakrishnan Vaidyanathan*,
Ravi Agarwal,
Madhu Nainar Sankar,
Kotturathu Mammen Cherian
Department of Cardiac Surgery, International Centre for Cardiothoracic and Vascular Diseases, Frontier Lifeline and Dr KM Cherian Heart Foundation, R 30 C Ambattur Industrial Estate Road, Mogappair, Chennai 600101, India
Received 18 November 2007;
received in revised form 9 January 2008;
accepted 11 January 2008.
* Corresponding author. Tel.: +91 44 42017575; fax: +91 44 26565150. (Email: rkvdoc{at}rediffmail.com).
Key Words: Pseudoaneurysm • Open heart surgery
A 25-year-old female presented with hemoptysis one year after ASD closure. Chest radiograph revealed large mediastinal opacity (Fig. 1
b) not present immediately after the previous surgery (Fig. 1a). Multislice CT (Fig. 2
) revealed two ascending aortic pseudoaneurysms. Resection and homograft patch reconstruction of ascending aorta was successfully performed.
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Fig. 1. (a) Chest radiograph immediately after the ASD closure shows no mediastinal shadow. (b) Chest radiograph one year after the first surgery showing a large mediastinal shadow merging with the aortic silhouette.
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Fig. 2. (a) Axial CT image showing pseudoaneurysm with thrombosis. (b) Reconstructed CT image showing the pseudoaneurysms (arrows), the larger one from aortic cannulation site and the smaller one from the cardioplegia needle insertion site.
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