We describe a rare case of an ascending aortic pseudoaneurysm detected incidentally at coronary angiography in a 64-year-old man with a history of a Bentall procedure 8 years previously. The patient underwent reoperation, with longitudinal opening and cleaning of the aortic pseudoaneurysm and graft repair of the defect. This report highlights the insidious late onset of pseudoaneurysm and the i...

A 68-year-old woman who had undergone mitral valve replacement 7 years ago developed severe aortic stenosis. Coronal contrast-enhanced chest computed tomography (Figure 1) and 3D volume-rendered magnetic resonance imaging (Figure 2) revealed an unruptured and calcified pseudoaneurysm of the atrioventricular groove. The red arrow shows the pseudoaneurysm, and the red star shows fistulae between ...

A healthy 48-year-old woman with hypertension was referred to our hospital because of an aortic pseudoaneurysm. She had undergone a replacement of the descending aorta by a 16-mm Dacron graft for aortic coarctation via a left thoracotomy 30 years before. Sudden onset of hoarseness had been presented 1 month previously, and exploration by flexible fiberoptic laryngoscopy for the causes of hoarse...

Posttraumatic infrarenal aortic pseudoaneurysms are rare and potentially lethal lesions. We report the case of a 32-year-old man presenting with infrarenal aortic pseudoaneurysm eight months after being stabbed in the back and right flank. His pseudoaneurysm was close to the iliac bifurcation, so we decided to deploy a bifurcated endovascular graft stent, the TriVascular Ovation endovascular st...

Giant pseudoaneurysm of the ascending aorta is a rare but dreadful complication occurring several months or years after aortic surgery. Thoracic aortic aneurysms tend to be asymptomatic and were previously often diagnosed only after a complication such as dissection or rupture. We present a rare case of giant ascending aneurysm with Stanford type A aortic dissection occurring 6 years after aort...

We describe a diabetic patient successfully treated for an acute mycotic aortic arch pseudoaneurysm with primary aldosteronism. The patient first complained of severe pain in the left upper extremity and left back with high C reactive protein (CRP) and high-grade fever. It was suspected that acute aortic dissection had developed in association with mycotic pseudoaneurysm of the aortic arch beca...

OBJECTIVES To evaluate morphologic variations at the aortic isthmus with particular attention to ductus diverticulum, a mimicker of traumatic pseudoaneurysm, and to describe differences using Computed Tomography (CT) images. PATIENTS AND METHODS From December 2013 to December 2014, patients who underwent a chest CT examination after blunt trauma at our emergency department were included. Aort...

We describe an unusual case of left ventricular outflow tract (LVOT) pseudoaneurysm late after aortic valve replacement. A 77-year-old man, who had undergone aortic valve replacement with mechanical prosthesis 7 years ago, presented, asymptomatic, with a transesophageal echocardiography (TTE) diagnosis of a large cavitary mass arising behind the aortic wall. The orifice of the pseudoaneurysm wa...

Aortic pseudoaneurysm after cardiac surgery is a rare entity, but it is potentially fatal due to its clinical course along with higher morbidity and mortality rates. Instead of open surgical repair, percutaneous procedures have been introduced as other options for managing an aortic pseudoaneurysm. In this case report, we describe transesophageal echocardiography guidance for successful percuta...

There have been few case reports which discuss a relationship between warfarin overdose and aortic pseudoaneurysm leakage. We report the case of a female receiving warfarin who presented with dsypnea. Her international normalized ratio was > 10. Chest radiograph revealed cardiomegaly, and chest computed tomography (CT) showed a bulging pouch-like lesion below the aortic arch greater than 6x6 cm...