title: A case of traumatic pseudoaneurysm of the ascending aorta occurring in a postoperative patient who underwent arch replacement and Bentall's operation.
abstract: A case of traumatic pseudoaneurysm of the ascending aorta occurring in a postoperative patient who underwent an arch replacement and Bentall's operation was reported. A bleeding point was clear at the graft of the ascending aorta, and a pseudoaneurysmal formation was suspected following an echocardiogram. An aortogram demonstrated the presence of an aneurysm approximately 8 cm by 4 cm in size originating 5 cm above the right coronary ostia. An emergency operation was carried out. A Trans-femoral bypass was established before sternotomy. The Operative findings showed that adhesive connective tissue covered a pseudoaneurysm 8 cm by 4 cm in size, and that there was a tear in the anastomosis of the grafts between the ascending aorta and the arch 5 cm above the coronary ostia. Direct suture was performed, using hypothermic circulatory arrest. In this paper, We discuss the mechanism, classification, and operative strategy of traumatic pseudoaneurysm.
authors.affiliation: The Heart Institute, Department of Cardiovascular Surgery, Kurashiki Central Hospital, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Kochi
authors.forename: K
authors.initials: K
authors.lastname: Imai
authors.forename: K
authors.initials: K
authors.lastname: Shiraga
authors.forename: S
authors.initials: S
authors.lastname: Kono
authors.forename: T
authors.initials: T
authors.lastname: Komiya
authors.forename: Y
authors.initials: Y
authors.lastname: Kanzaki
mesh_terms: D000328:Adult; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D011184:Postoperative Period; D011859:Radiography; D012008:Recurrence; D014949:Wounds, Nonpenetrating / Q000150:complications*