False aneurysm from the aortic vent site.
False aneurysm from the aortic vent site is an uncommon complication following open heart surgery. An ascending aorta false aneurysm developed in a patient four months after mitral and aortic valve replacement. Extensive adhesions precluded aortic dissection and cross-clamping. Femoro-femoral cannulation, low flow, low pressure, and low temperature cardiopulmonary by-pass was used. The aneurysm was resected and then repaired with a Dacron patch. A Foley catheter was placed in the ascending aorta through the defect to obtain a bloodless field. This surgical approach can be useful in managing this difficult situation.
D000328:Adult; D001014:Aortic Aneurysm / Q000209:etiology / Q000601:surgery*; D006328:Cardiac Catheterization / Q000009:adverse effects*; D002315:Cardiopulmonary Bypass / Q000009:adverse effects; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000601:surgery