title: Endovascular stent graft repair of suture-line pseudoaneurysm following ascending aorta replacement.
abstract: Ascending aorta pseudoaneurysm (AAPA) is an uncommon complication following replacement of the ascending aorta with a prosthetic graft, carry a high risk of rupture, and warrant urgent intervention. The open surgical procedure "gold standard" of care is not always favorable, as the reoperations are technically more difficult or patient's general condition doesn't allow proceeding. Case discussed is an 80-year-old male patient who presented with worsening cough and hemoptysis. He underwent ascending aorta replacement 10 years ago. Computed tomography (CT) scan revealed a contrast-filled mediastinal mass communicating with the ascending aorta and extended into the right lung. Due to the patient's advanced age, friability and clinical condition, combined with the position of the AAPA behind the sternum, surgery was deemed to be high risk. However, favorable anatomical conditions provided a safe landing zone for an endovascular stent. The patient underwent closed procedure. Postprocedure CT showed complete obliteration of the AAPA.
authors: Leeds Teaching Hospital, Leeds, United Kingdom.
authors: David
authors: D
authors: Zicho
authors: Neil
authors: N
authors: Cartwright
authors: Federico
authors: F
authors: Bizzarri
authors: Christopher
authors: C
authors: Malkin
authors: Michael
authors: M
authors: Cross
authors: Simon
authors: S
authors: Mcpherson
authors: Pankaj
authors: P
authors: Kaul
authors: Sapna
authors: S
authors: Puppala
mesh_terms: D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D015901:Angiography, Digital Subtraction; D001011:Aorta / Q000601:surgery*; D001014:Aortic Aneurysm / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D057510:Endovascular Procedures / Q000295:instrumentation; D006801:Humans; D008297:Male; D061330:Multidetector Computed Tomography; D012086:Reoperation; D015607:Stents; D013536:Suture Techniques / Q000009:adverse effects*; D013997:Time Factors; D016896:Treatment Outcome
keywords: ascending aorta; pseudoaneurysm; stent graft; type A dissection