Endovascular management of pseudoaneurysm formation in the ascending aorta following lung transplantation.
OBJECTIVE
To demonstrate the role of endovascular approaches to the ascending aorta in the post-transplant context.


METHODS
Three patients (2 women and 1 man aged 52, 68, and 43 years, respectively) developed pseudoaneurysm of the ascending aorta following thoracic organ transplantation. Due to the prohibitive risk of open surgery in each case, an endovascular repair of the ascending aorta was performed, with implantation of 1 to 3 stent-grafts to span the lesions. Follow-up imaging demonstrated complete exclusion of the pseudoaneurysms, with excellent outcomes at 4 months, 6 months, and 3 years.


CONCLUSIONS
Stent-grafting of the ascending aorta represents a viable approach to pseudoaneurysm in the post-transplant setting.
Department of Cardiothoracic Surgery, Stanford University Hospitals and Clinics Stanford, California 94305-5407, USA. djoyce4@gmail.com
David L
DL
Joyce
Steve K
SK
Singh
Hari R
HR
Mallidi
Michael D
MD
Dake
D000328:Adult; 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 / Q000295:instrumentation; D057510:Endovascular Procedures / Q000295:instrumentation; D005260:Female; D006801:Humans; D016040:Lung Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome