JTCS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Wilko Reents
Rainer G. Leyh
Armin Gorski
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Reents, W.
Right arrow Articles by Gorski, A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Reents, W.
Right arrow Articles by Gorski, A.
Related Collections
Right arrow Cerebral protection
Right arrow Extracorporeal circulation
Right arrow Great vessels

J Thorac Cardiovasc Surg 2010;139:e62-e63
© 2010 The American Association for Thoracic Surgery

Brief Clinical Report

False aneurysm with aortopulmonary shunt after replacement of the ascending aorta

Wilko Reents, MDa,*, Werner Kenn, MDb, Jörg Babin-Ebell, MDc, Rainer G. Leyh, MD, PhDa, Armin Gorski, MDa

a Department of Cardiothoracic Surgery, University Hospital Würzburg, Würzburg, Germany
b Department of Radiology, University Hospital Würzburg, Würzburg, Germany
c Department of Cardiovascular Surgery, Cardiovascular Clinic Bad Neustadt, Bad Neustadt, Germany

Received for publication September 22, 2008; accepted for publication November 19, 2008.

* Address for reprints: Wilko Reents, MD, Department of Cardiothoracic Surgery, University Hospital Würzburg, Oberdürrbacher Strasse 6, 97080 Würzburg, Germany. (Email: wilko.reents@herzchirurgie.de).

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


   Introduction
 
The development of a false aneurysm with an aorto-pulmonary shunt is an extraordinary, uncommon, and life-threatening condition. Surgical repair is inevitable, yet the operative approach is hampered by several pitfalls. This report describes the tailored surgical treatment of a mediastinal oseudoaneurysm with an aorto-pulmonary shunt arising after ascending aortic replacement.


   Clinical Summary
 
Five years after supracoronary replacement of the ascending aorta for acute aortic dissection, a 61-year-old woman had new-onset, rapidly progressive dyspnea. At presentation, she had orthopnea and peripheral edema. Auscultation revealed a continuous diastolic-systolic murmur and diminished basilar breath sounds. Chest radiography showed bilateral pleural effusions and interstitial fluid accumulation. Echocardiography demonstrated a moderate aortic valve insufficiency with prolapse of the right coronary cusp, a periaortic fluid accumulation, and the presence of a shunt between the ascending aorta and the pulmonary artery. Magnetic resonance imaging confirmed the presence of an aortopulmonary shunt (pulmonary/systemic perfusion ratio of 1.89) and demonstrated a large false aneurysm with extravasation of contrast media at the level of . . . [Full Text of this Article]






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2010 by The American Association for Thoracic Surgery.