title: Endovascular repair of ascending aortic pseudoaneurysm in a high-risk patient.
abstract: Mycotic ascending aortic pseudoaneurysm (AAP) is an uncommon but surgically challenging problem with high morbidity and mortality rates. We describe endovascular repair of an acute mycotic AAP in a high-risk patient. A 45-year old man, HIV serum positive, chronic hepatitis HBV and HCV related, presented, after two sternotomies, with a fast growing 11 6 cm AAP that was sealed with two Gore Exluder aortic cuffs, inserted from the left axillary artery. Nine months control CT continued to show no endoleak with shrinking of the AAP.
authors.affiliation: Cardiovascular Surgery Division of L. Sacco Hospital, University of Milan, Milan, Italy. gelpi.guido@hsacco.it
authors.forename: Guido
authors.initials: G
authors.lastname: Gelpi
authors.forename: Giovanni
authors.initials: G
authors.lastname: Cagnoni
authors.forename: Paolo
authors.initials: P
authors.lastname: Vanelli
authors.forename: Carlo
authors.initials: C
authors.lastname: Antona
mesh_terms: D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D057510:Endovascular Procedures; D006801:Humans; D008297:Male; D008875:Middle Aged; D018570:Risk Assessment; D012307:Risk Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome