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Eur J Cardiothorac Surg 2009;35:1079. doi:10.1016/j.ejcts.2009.01.054
Copyright © 2009, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
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Images in cardio-thoracic surgery

Large false aneurysm following aortic valve replacement and excision of an abscess cavity for the treatment of staphylococcus aureus endocarditis

Annabel Jane Sharkey*, Edward Weng Koon Peng, Graham J. Cooper

Chesterman Wing, Northern General Hospital, Sheffield, South Yorkshire, S5 7AU, United Kingdom

Received 2 December 2008; received in revised form 12 January 2009; accepted 14 January 2009.

* Corresponding author. Address: Chesterman Wing, Northern General Hospital, Herries Road, Sheffield, South Yorkshire, S5 7AU, United Kingdom. Tel.: +44 1142714337; fax: +44 1142610350. (Email: annabel.sharkey{at}nhs.net).

Key Words: Pseudoaneurysm • Endocarditis • Cardiac CT • Aortic valve

A 28-year-old man underwent aortic valve replacement and excision of abscess cavity for staphylococcus aureus endocarditis. A large pseudoaneurysm was found on CT angiogram 4 years later (Figs. 1 and 2 ). This was successfully treated with a redo aortic valve replacement, patch false aneurysm and replacement ascending aorta.


Figure 1
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  		Fig. 1. 3D reconstructed CT images of large pseudoaneurysm arising adjacent to the left coronary sinus.

 

Figure 2
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  		Fig. 2. Thoracic CT with contrast image of large pseudoaneurysm.

 





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Edward Weng Koon Peng
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