Aortic ascending pseudoaneurysm is a rare complication following aortic root surgery. The surgical solution of the complication is rather demanding and complex, especially when reaching the mediastinum. The latter translates into an elevated morbidity and mortality. We present a case performed through a minimal anterior right thoracotomy, which allowed us to dissect between the pseudoaneurysm a...

APRIL 2010 I ENDOVASCULAR TODAY I 29 T he indications for endovascular aneurysm repair have been extended since first described by Parodi and colleagues.1 Although initially designed for simple infrarenal aortic aneurysm repair, the development of bifurcated, modular, and custom-made grafts has extended the use of this technology to allow inclusion of different and challenging aortic anatomies ...

We report successful thoracic endovascular repair of a pseudoaneurysm rupture in the ascending aorta using infrarenal endovascular devices after an aortic valve replacement. Complete exclusion of the pseudoaneurysm was achieved with no endoleak or postoperative complications. Despite limitations of the current technology, this endovascular technique was a relatively less invasive, feasible life...

This report describes the use of transluminal endovascular grafting for the treatment of a presumed aortoduodenal fistula. The patient was a 71-year-old man who had undergone resection and graft replacement for an abdominal aortic aneurysm. Three years after operation, melena was caused by perforation of the duodenal wall by a pseudoaneurysm at the proximal graft anastomosis. The pseudoaneurysm...

Correspondence To the Editor: We report a strategy for an asymptomatic anastomotic pseudoaneurysm that occurred 30 years after aorta surgery. A 45-year-old male was admitted because the angiograph showed a pseudoaneurysm during an atrial fibrillation radiofrequency procedure. The patient did not have hypertension or chest pain. He had a history of thoracic aorta replacement, which was performed...

Endovascular treatment has emerged as a less traumatic alternative treatment for several diseases of the thoracic aorta. However, the complications of the endovascular management of ascending aortic dissections are still high. We present a case of two iatrogenic complications after endovascular repair (EVAR) of type A (ascending) aortic dissection. Retrograde aortic dissection at the proximal p...

Endovascular treatment options for vascular injury in pediatric patients are quite limited due to concerns with long-term durability and the lack of devices that suitable anatomy. However, rare circumstances, open surgical therapies not an option require unconventional endovascular solutions life or limb-saving therapies. We present a patient who has failed initial management blunt abdominal ao...

We describe a patient who underwent off-pump coronary artery bypass graft surgery performed with an aortic connector. The patient developed a malignant deep sternal wound infection that subsequently led to an aortic pseudoaneurysm at the site of proximal anastomosis.

An adolescent patient with a previous history of surgical repair for interrupted aortic arch type B presented with an asymptomatic, saccular pseudoaneurysm of the proximal, common left carotid artery, identified on a follow-up magnetic resonance angiography of the thoracic large vessels. The pseudoaneurysm was successfully excluded with a covered stent. Clinical and radiological follow-up after...

We describe the case of a man incidentally found to have a pseudoaneurysm of the ascending aorta at the site of a previously (12 years ago) implanted metallic prosthetic aortic valve. Transthoracic echocardiography and computed tomography images demonstrate the pseudoaneurysm. The patient has undergone surgical repair with a good result.