Protective effect of angulated aorta for saving coronary artery during endovascular repair for ascending aortic pseudoaneurysm.
Ascending aortic pseudoaneurysm is a rare complication after cardiothoracic surgery and the open surgical repair for this complication is challenging. We report on a patient who developed an ascending aortic pseudoaneurysm after aortic valve replacement (AVR), which was treated successfully with endovascular therapy. Our case showed that angulation of the ascending aorta is one of factors for consideration in application of endovascular therapy and endovascular therapy might be an option for management of ascending aortic pathology in patients with high surgical risk, particularly patients with a severely angulated proximal ascending aorta.
Department of Cardiovascular Medicine, Gachon University Gil Medical Center, Incheon, Korea.
Myeong Gun
MG
Kim
Department of Cardiovascular Medicine, Gachon University Gil Medical Center, Incheon, Korea.
Woong Chol
WC
Kang
Department of Cardiovascular Medicine, Gachon University Gil Medical Center, Incheon, Korea.
Pyung Chun
PC
Oh
Department of Cardiovascular Surgery, Gachon University Gil Medical Center, Incheon, Korea.
Yang Bin
YB
Jeon
Department of Anesthesiology, Gachon University Gil Medical Center, Incheon, Korea.
Ji Yeon
JY
Lee
Department of Cardiovascular Medicine, Gachon University Gil Medical Center, Incheon, Korea.
Eak Kyun
EK
Shin
Angulation of ascending aorta; ascending aortic pseudoaneurysm; endovascular therapy