Aortic Pseudo aneurysm 3 Years after Interposition Tube Graft for Acute Dissection of Ascending Aorta

Authors

  • Aliasghar Moeinipour Cardiac Surgeon, Department of Cardiac Surgery, Mashhad University of Medical Sciences, Mashhad, Iran.
  • Hamid Hoseinikhah Cardiac Surgeon, Department of Cardiac Surgery, Mashhad University of Medical Sciences, Mashhad, Iran.
  • Kayhan Mizani Student Research Committee, Faculty of medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
  • Mahsa Moallemi Student Research Committee, Faculty of medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
  • Mohamadreza Akbari General Physician, Faculty of medical science, Mashhad University of Medical Sciences, Mashhad, Iran.
  • Omid Javdanfar Resident of Cardiac Surgery, Department of Cardiac Surgery, Faculty of Medical Science, Mashhad University of Medical Sciences, Mashhad, Iran
Abstract:

Introduction: Patients with primary acute aortic dissection are at higher risk of complications, including increasing aortic aneurysm diameter, aortic rupture, aortic pseudo aneurysm, and recurrent aortic dissection. Case presentation We presented the case of a recurrent pseudo aneurysm and rupture of the aorta in the distal ascending aorta and proximal arch 3 years after the initial procedure for acute aortic dissection. The patient had bleeding from previous skin incision. In computed tomography angiography, the site of rupture of the aorta and abnormal communication with sternum were confirmed. Conclusion Recurrent aortic dissection is a catastrophic event and has high mortality; however, it is rare and is treated in a short time by redo surgery.

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Journal title

volume 7  issue 2

pages  453- 455

publication date 2019-06-01

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