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Eur J Cardiothorac Surg 2009;35:901. doi:10.1016/j.ejcts.2008.12.051
Copyright © 2009, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
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Images in cardio-thoracic surgery

Ruptured pseudoaneurysm with aorto-pulmonary shunt after aortic arch repair

Ophélie Loupa,*, Daniel Ottb, Lars Englbergera, Thierry Carrela

a Department of Cardiovascular Surgery, University Hospital of Berne, Switzerland
b Department of Radiology, University Hospital of Berne, Switzerland

Received 9 October 2008; received in revised form 29 December 2008; accepted 30 December 2008.

* Corresponding author. Address: Department of Cardiovascular Surgery, University Hospital Berne, Freiburgstrasse, 3010 Bern, Switzerland. Tel.: +41 31 632 2111; fax: +41 31 632 2919. (Email: Ophelie.Loup{at}insel.ch).

Key Words: Marfan syndrome • Pseudoaneurysm • Aorto-pulmonary shunt

A 50-year-old female with Marfan syndrome was admitted for cardiogenic shock six years after composite graft and aortic arch replacement including en bloc reimplantation of the brachiocephalic vessels.

Findings: pseudoaneurysm of the aortic arch and ascending aorta from disconnection of brachiocephalic vessels and left coronary ostium with rupture into the left pulmonary artery (Fig. 1 ).


Figure 1
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  		Fig. 1. CT-scan and 3D reconstruction showing pseudoaneurysm (arrow, *) penetrating into the left pulmonary artery (arrow).

 





This Article
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Lars Englberger
Thierry Carrel
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PubMed
Right arrow Articles by Loup, O.
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Related Collections
Right arrow Cardiac - other
Right arrow Great vessels

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