title: Hybrid treatment of an ascending aortic pseudoaneurysm following multiple sternotomies.
abstract: Ascending aortic pseudoaneurysm following prior cardiac or aortic surgery is a rare entity that requires reoperation. Surgical repair is a complex procedure associated with high operative mortality. We report the case of a 76-year-old male patient with an ascending aortic pseudoaneurysm developing from distal anastomosis of a Dacron aorto-aortic prosthesis. This high-risk patient had previously undergone multiple cardiovascular operations and was treated by performing an extra-anatomic bypass between the descending thoracic aorta and supra-aortic vessels, followed by endovascular stent graft placement, avoiding median re-sternotomy.
authors.affiliation: Cardiovascular Surgery Department, University Hospital, Rennes, France. gianvito_ruggieri@libero.it
authors.forename: Vito Giovanni
authors.initials: VG
authors.lastname: Ruggieri
authors.forename: Romain
authors.initials: R
authors.lastname: Malezieux
authors.forename: Najeebullah
authors.initials: N
authors.lastname: Bina
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Favre
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D012086:Reoperation; D012772:Shock, Septic / Q000209:etiology; D015607:Stents; D056346:Sternotomy; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome