title: Pseudoaneurysm of the ascending aorta combined with aortic valve infective endocarditis following cardiac operations.
abstract: OBJECTIVE
  Aortic pseudoaneurysms are rare but life-threatening complications of aortic procedures. Operation on the femorofemoral bypass with hypothermic circulatory arrest has been the method of choice. Iatrogenic ascending aorta pseudoaneurysm combined with infective endocarditis of the aortic valve has never been reported.
  
  
  METHODS
  We describe a case of a pseudoaneurysm of the ascending aorta at the site of an aortotomy site concomitant with infective endocarditis of the aortic valve. A contrast computed tomographic scan was the investigation technology of choice.
  
  
  RESULTS
  The operation was performed on femorofemoral bypass without hypothermic circulatory arrest, which provided safe re-entry and an opportunity to replace the infected aortic valve with a mechanical prosthesis and to repair the aortic defect with a patch.
  
  
  CONCLUSIONS
  The ascending aorta pseudoaneurysm can be safely operated on with femorofemoral bypass without hypothermic cardiac arrest.
authors.affiliation: Department of Cardiovascular Surgery, Chinese PLA General Hospital, Chinese PLA Cardiac Surgery Institute, No. 28 Fu Xing Avenue, Beijing, P. R. China.
authors.forename: Shengli
authors.initials: S
authors.lastname: Jiang
authors.forename: Tao
authors.initials: T
authors.lastname: Zhang
authors.forename: Bojun
authors.initials: B
authors.lastname: Li
authors.forename: Chonglei
authors.initials: C
authors.lastname: Rei
authors.forename: Tingting
authors.initials: T
authors.lastname: Chen
authors.forename: Lin
authors.initials: L
authors.lastname: Zhang
authors.forename: Changqing
authors.initials: C
authors.lastname: Gao
mesh_terms: D017541:Aneurysm, False / Q000209:etiology* / Q000601:surgery*; D001011:Aorta / Q000601:surgery; D001021:Aortic Valve / Q000601:surgery; D001025:Aortitis / Q000209:etiology* / Q000601:surgery*; D013504:Cardiovascular Surgical Procedures / Q000009:adverse effects*; D002648:Child; D004696:Endocarditis / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008297:Male; D016896:Treatment Outcome