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J Thorac Cardiovasc Surg 2009;137:1285-1286
© 2009 The American Association for Thoracic Surgery

Brief Communication

Ascending aortic pseudoaneurysm after aortic valve replacement: Watch the tip of the cardioplegia cannula!

^a Division of Cardiovascular Surgery, Department of Surgery, Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
^b Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Virginia, Charlottesville, Va

Received for publication March 26, 2008; accepted for publication April 13, 2008.

^_* Address for reprints: Abbas Emaminia, MD, Division of Cardiac Surgery, Department of Surgery, Faghihi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran. (Email: emaminia@gmail.com).

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

Ascending aortic pseudoaneurysms are rare and occur infrequently from anastomotic dehiscence of suture lines and cannulation sites from previous aortic surgery.¹ Open surgical approach is the management of choice but carries a high risk of pseudoaneurysm rupture at the time of sternotomy. We describe a case of ascending aortic pesudoaneurysm with the orifice located on the posterior wall of the aorta, which is caused by the tip of the cardioplegia cannula inserted during a previous cardiac operation.

Clinical Summary

A 23-year-old woman with endocarditis of the mitral and aortic valves underwent double valve replacement surgery at an outside hospital. Fever developed early after surgery and was attributed to confirmed arthritis of the right ankle. Transthoracic and transesophageal echocardiography on the second postoperative week showed a 2 x 2-cm mass located between the aorta and the pulmonary artery, consistent with pseudoaneurysm and infection. Intravenous antibiotics were continued for 2 more weeks. Serial echocardiography failed to show any shrinkage in the mass size, and the computed tomographic scan revealed an . . . [Full Text of this Article]

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				J. Sheng-li, L. Bo-jun, and G. Chang-qing Pseudoaneurysm of ascending aorta combined with aortic valve infective endocarditis after cardiac operations for congenital ventricular septal defect. J. Thorac. Cardiovasc. Surg., February 1, 2011; 141(2): 600 - 601. [Full Text] [PDF]

				F. Edwin eComment: Pseudoaneurysms of the ascending aorta following cardiac surgery - are they preventable? Interact CardioVasc Thorac Surg, May 1, 2010; 10(5): 822 - 822. [Full Text] [PDF]