Transfemoral control of ruptured aortic pseudoaneurysm at aortic root reoperation.
Median sternotomy in the setting of aortic pseudoaneurysm and/or rupture is hazardous, requiring technical modifications to prevent exsanguination. Free aortic disruption, particularly when accompanied by aortic regurgitation, presents a particularly challenging situation. The critical issue is to protect the brain and heart while obtaining control of the aorta. We report management of such a case using transfemoral balloon aortic occlusion.
Pettersson
Gosta
G
Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.
Nores
Marcos
M
Gillinov
A Marc
AM
D000328:Adult; D017541:Aneurysm, False / Q000150:complications / Q000628:therapy*; D001013:Aorta, Thoracic; D001018:Aortic Diseases / Q000150:complications / Q000628:therapy*; D001019:Aortic Rupture / Q000150:complications / Q000628:therapy*; D021721:Balloon Occlusion / Q000379:methods*; D005263:Femoral Artery; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000628:therapy*; D012086:Reoperation