title: False aneurysm with an aorto-superior vena cava fistula after replacement of the ascending aorta: report of a case.
abstract: A 58-year-old female presenting with congestive heart failure due to a fistula between an aortic false aneurysm and the superior vena cava (SVC) is described. She had a history of Takayasu's arteritis (TA) and she had undergone aortic valve and ascending aorta replacement and coronary artery bypass grafting 6 years before. The false aneurysm had occurred 1 year after the surgery, and she had been conservatively managed. The operation revealed that the cause of the false aneurysm was the detachment of the two proximal saphenous vein anastomoses to the ascending aortic graft. After the surgery, the patient made an uneventful recovery. A false aneurysm of the ascending aorta is one of the most serious complications after replacement of the ascending aorta for patients with TA (Miyata et al. in J Vasc Surg 27:438-445, 1998). We herein present the exceptional case of a fistula between an aortic false aneurysm and the SVC that occurred after ascending aorta graft replacement.
authors.affiliation: Division of Cardiovascular Surgery, Department of Surgery, Hyogo Brain and Heart Center at Himeji, 520 Saisho-kou, Himeji, 670-0981, Hyogo, Japan, rryuma.0619@gmail.com.
authors.forename: Ryuma
authors.initials: R
authors.lastname: Iwaki
authors.forename: Keitaro
authors.initials: K
authors.lastname: Nakagiri
authors.forename: Naoto
authors.initials: N
authors.lastname: Morimoto
authors.forename: Hirohisa
authors.initials: H
authors.lastname: Murakami
authors.forename: Tasuku
authors.initials: T
authors.lastname: Honda
authors.forename: Masato
authors.initials: M
authors.lastname: Yoshida
authors.forename: Nobuhiko
authors.initials: N
authors.lastname: Mukohara
mesh_terms: D017541:Aneurysm, False / Q000209:etiology*; D001011:Aorta / Q000601:surgery; D001021:Aortic Valve / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D001026:Coronary Artery Bypass; D005260:Female; D006333:Heart Failure / Q000209:etiology; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D013625:Takayasu Arteritis / Q000601:surgery*; D013997:Time Factors; D016157:Vascular Fistula / Q000209:etiology*; D014683:Vena Cava, Superior