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J Thorac Cardiovasc Surg 2006;131:914-916
© 2006 The American Association for Thoracic Surgery

Brief Communication

Percutaneous occlusion of a pseudoaneurysm evolving after homograft aortic valve and root replacement with the Amplatzer muscular ventricular septal defect occluder

Eric M. Graham, MD a , Varsha M. Bandisode, MD a , * , Andrew M. Atz, MD a , Charles H. Kline, RDMS a , Marian H. Taylor, MD b , John S. Ikonomidis, MD, PhD c

a Division of Pediatric Cardiology, Medical University of South Carolina, Charleston, SC.
b Division of Cardiology, Medical University of South Carolina, Charleston, SC.
c Division of Cardiothoracic Surgery, Medical University of South Carolina, Charleston, SC.

Received for publication November 8, 2005; accepted for publication November 15, 2005.

* Address for reprints: Varsha M. Bandisode, MD, Medical University of South Carolina, 165 Ashley Ave, PO Box 250915, Charleston, SC 29425. (Email: bandisvm@musc.edu).

The first 20% of the full text of this article appears below.

Aortic root replacement with aortic homograft has yielded good results in appropriate patients. Aortic pseudoaneurysms are a rare postoperative complication, potentially leading to reoperation with significantly higher surgical mortality. 1 Go We describe a case in which a left ventricular outflow tract pseudoaneurysm is successfully occluded with transcatheter device closure in a patient at high risk for reoperation.

Clinical Summary

A 40-year-old woman presented with a history of a bicuspid aortic valve with severe insufficiency, ascending aortic aneurysm, and hemiarch aneurysm. After discussion of the various treatment options, she underwent surgical replacement with a 22-mm homograft aortic valve, root, and ascending aorta. Her midterm postoperative course was complicated by gram-negative endocarditis and dehiscence of the homograft. Her aortic homograft was rereplaced 22 days after initial intervention and was complicated by uncontrollable bleeding from a posterior annular suture line. An anterior pericardial baffle was created and decompressed to the right atrial appendage, resulting in . . . [Full Text of this Article]




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 Ann. Thorac. Surg.Home page
G. Vignati, G. Bruschi, L. Mauri, G. Annoni, M. Frigerio, L. Martinelli, and S. Klugmann
Percutaneous Device Closure of Iatrogenic Left Ventricular Wall Pseudoaneurysm
Ann. Thorac. Surg., October 1, 2009; 88(4): e31 - e33.
[Abstract] [Full Text] [PDF]


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