title: Conservative management of the pseudoaneurysms of ascending aortic graft: a case of spontaneous regression at follow-up.
abstract: Pseudoaneurysms of thoracic aorta represent life-threatening complications of cardiac surgery. We present a case report of a patient who underwent urgent aortic valvular replacement with a biological prosthesis and ascending aortic replacement with graft interposition and developed postoperative ascending aortic pseudoaneurysms. The pseudoaneurysms did not increase in the postoperative stay and a conservative management was chosen. At follow-up, the two pseudoaneurysms had completely regressed. The therapeutic steps for aortic pseudoaneurysms should be tailored to the patient and even conservative management could be effective if selected after an evaluation of the clinical status of the patient.
authors.affiliation: aDepartment of Cardiovascular Surgery, Centro Cardiologico Monzino, University of Milan, Milan, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Agrifoglio
authors.forename: Gianluca
authors.initials: G
authors.lastname: Pontone
authors.forename: Daniele
authors.initials: D
authors.lastname: Andreini
authors.forename: Paolo
authors.initials: P
authors.lastname: Biglioli
authors.forename: Faisal H
authors.initials: FH
authors.lastname: Cheema
authors.forename: Fabio
authors.initials: F
authors.lastname: Barili
mesh_terms: D000784:Aortic Dissection / Q000601:surgery; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001011:Aorta; D001014:Aortic Aneurysm / Q000601:surgery; D001021:Aortic Valve / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications; D014057:Tomography, X-Ray Computed / Q000379:methods
chemical_list: D000900:Anti-Bacterial Agents