Multipl kapak replasmanı sonrası gelişen aortik psödoanevrizma

Key Findings & Data:After reincisions of the ascending aorta as in re-aortic valve replacement, the patient should undergo regular echocardiographic studies and re-reoperation should quickly follow a diagnosis of pseudoaneurysm formation.

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Conclusion & Impact:We present a case with a giant pseudoaneurysm following re-aortic valve replacement and its treatment.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Pseudoaneurysm formation at the ascending aortic suture line is a rare but life-threatening complication. After reincisions of the ascending aorta as in re-aortic valve replacement, the patient should undergo regular echocardiographic studies and re-reoperation should quickly follow a diagnosis of pseudoaneurysm formation. Interposition of supravalvular aortic graft may be the surgical treatment of choice because its long term results are better when compared with those of other surgical techniques. We present a case with a giant pseudoaneurysm following re-aortic valve replacement and its treatment.

Özet

Asendan aort sütür hattından kaynaklanan psödoanevrizma oluşumu çok nadir gözlenen fakat hayatı tehdit eden bir komplikasyondur. Tekrar aort kapak replasmanı sonrası yapılan multipl aort insizyonları sonrası her hasta düzenli olarak ekokardiyografik takip altına alınmalı ve psödoanevrizma tanısı konulunca tekrar ameliyat kararı geciktirilmeden verilmelidir. Tedavi olarak supravalvüler aortik interpozisyonu düşünülebilir çünkü uzun dönem sonuçları diğer cerrahi tekniklere göre daha iyidir. Bu olgu sunumunda tekrar aort kapak replasmanı sonrası asendan aortta gelişen büyük bir psödoanevrizma ve tedavisi sunuldu.

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Cite This Article

AKGÜL, A., BABAROĞLU, S., ÖOBANOĞLU, A., BAHAR, İ. (2022). Multipl kapak replasmanı sonrası gelişen aortik psödoanevrizma. Türk Göğüs Kalp Damar Cerrahisi Dergisi, Cilt: 17 - Sayı: 4, 293–295. https://ajindex.com/articles/624673

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References (9)

Kucher N, Kipfer B, Seiler C, Allemann Y. Giant anastomotic pseudoaneurysm complicating aortic xenograft replacement. Ann Thorac Surg 2004;77:2197-9
Hammermeister K, Sethi GK, Henderson WG, Grover FL, Oprian C, Rahimtoola SH. Outcomes 15 years after valve replacement with a mechanical versus a bioprosthetic valve: final report of the Veterans Affairs randomized trial. J Am Coll Cardiol 2000;36:1152-8
Moneta A, Villa E, Donatelli F. An alternative technique for non-infective paraprosthetic leakage repair. Eur J Cardiothorac Surg 2003;23:1074-5
Sullivan KL, Steiner RM, Smullens SN, Griska L, Meister SG. Pseudoaneurysm of the ascending aorta following cardiac surgery. Chest 1988;93:138-43
Gaudino M, Alessandrini F, Canosa C, Possati G. Repair of an ascending aorta pseudoaneurysm by way of superior ministernotomy. Ann Thorac Surg 1999;67:1798-800
Milas BL, Savino JS. Pseudoaneurysm of the ascending aorta after aortic valve replacement. J Am Soc Echocardiogr 1998;11:303-6
Omeroglu SN, Mansuroglu D, Goksedef D, Cevat Y. Ultrafast computed tomography in management of post-bentall aortic root pseudoaneurysm repair. Tex Heart Inst J 2005;32:91-4
Parihar B, Choudhary LS, Madhu AP, Alpha MK, Thankachen R, Shukla V. Pseudoaneurysm of ascending aorta after aortic valve replacement. Ann Thorac Surg 2005;79:705-7. 9) de Almeida RM, Lima JD Jr, Kahrbek T, Tanomaru M. Surgical repair of a pseudoaneurysm of the ascending aorta after aortic valve replacement. Arq Bras Cardiol 2001;76:326-8
Piciché M, De Paulis R, Chiariello L. Unusual origin and fistulization of an aortic pseudoaneurysm: “off-pump” surgical repair. Ann Thorac Surg 1999;68:1406-7.