title: CT-guided thrombin injection to control rapid expansion of ascending aortic false aneurysm 15 months after Bentall-Bono operation.
abstract: We report a case of 57-year-old man treated emergently with CT-guided local thrombin injection as the first, life-saving step for control rapid expansion of the aortic pseudoaneurysm. Fifteen months earlier, he was operated on for ascending aortic true aneurysm and coronary artery disease. Upon admission, he had an anterior thoracic wall pulsatile tumor. Due to critical status, definite surgery was postponed and thrombin was injected close to the origin of pseudoaneurysm. It controlled successfully, bleeding from the ascending aorta and enabled the patient to survive the acute phase.
authors.affiliation: Department of Cardiac Surgery, Poznan University of Medical Sciences, Ul. Dluga ½, 61-848 Poznan, Poland. bperek@yahoo.com
authors.forename: Bartłomiej
authors.initials: B
authors.lastname: Perek
authors.forename: Tomasz
authors.initials: T
authors.lastname: Urbanowicz
authors.forename: Bartosz
authors.initials: B
authors.lastname: Zabicki
authors.forename: Mateusz
authors.initials: M
authors.lastname: Puślecki
authors.forename: Robert
authors.initials: R
authors.lastname: Juszkat
authors.forename: Marek
authors.initials: M
authors.lastname: Jemielity
mesh_terms: D000714:Anastomosis, Surgical; D017541:Aneurysm, False / Q000175:diagnosis / Q000188:drug therapy* / Q000601:surgery; D015901:Angiography, Digital Subtraction; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000188:drug therapy* / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery; D001027:Aortography; D019917:Blood Vessel Prosthesis Implantation; D001026:Coronary Artery Bypass; D015150:Echocardiography, Doppler; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D007267:Injections; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000188:drug therapy* / Q000601:surgery; D015641:Radiography, Interventional / Q000379:methods*; D012086:Reoperation; D056346:Sternotomy; D013917:Thrombin / Q000008:administration & dosage*; D014057:Tomography, X-Ray Computed / Q000379:methods*; D014680:Veins / Q000637:transplantation
chemical_list: D013917:Thrombin