title: A case of ascending aortic pseudoaneurysm in a patient with aortic replacement.
abstract: A 59-year-old man with a history of ascending aorta replacement for an aortic dissection using gelatin-resorcin-formalin glue at age of 50 years presented with paroxysmal nocturnal dyspnea. An echocardiogram showed severe aortic regurgitation associated with aortic root enlargement. Chest computed tomography showed that the ascending aorta was dilated and a pseudoaneurysm was observed around the implanted prosthetic graft. Upon opening the ascending aorta, we found that the posterior wall of the proximal anastomotic portion of the implanted graft was ruptured. After replacement of the aortic root with a composite graft and reconstruction of the orifices of the right and left coronary arteries, total arch replacement by the separated graft technique was performed. The postoperative course was uneventful.
authors.affiliation: Division of Cardiovascular Surgery, Jichi Medical University, Shimotsuke, Tochigi, Japan.
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Ishida
authors.forename: Yasuhito
authors.initials: Y
authors.lastname: Sakano
authors.forename: Shin-ichi
authors.initials: S
authors.lastname: Ohki
authors.forename: Arata
authors.initials: A
authors.lastname: Muraoka
authors.forename: Kei
authors.initials: K
authors.lastname: Aizawa
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Misawa
mesh_terms: D000784:Aortic Dissection / Q000601:surgery*; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001014:Aortic Aneurysm / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000209:etiology; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation*; D020878:Device Removal; D004338:Drug Combinations; D005557:Formaldehyde / Q000009:adverse effects; D005780:Gelatin / Q000009:adverse effects; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012086:Reoperation; D012118:Resorcinols / Q000009:adverse effects; D013997:Time Factors; D014014:Tissue Adhesives / Q000009:adverse effects; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D004338:Drug Combinations; D012118:Resorcinols; D014014:Tissue Adhesives; C027813:gelatin-resorcinol-formaldehyde tissue adhesive; D005557:Formaldehyde; D005780:Gelatin