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Case Reports
. 2005;32(2):235-7.

Aortic pseudoaneurysm

Affiliations
Case Reports

Aortic pseudoaneurysm

Thomas J Takach et al. Tex Heart Inst J. 2005.

Abstract

Reoperative aortic surgery is a therapeutic challenge. We examine a case of reoperative aortic surgery involving a pseudoaneurysm that occurred after surgical treatment of an abdominal aneurysm. A systematic approach to diagnosis, followed by treatment tailored to diagnostic findings, can minimize morbidity.

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Figures

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Fig. 1 A) A computed tomographic (CT) scan, in a cross-sectional view of the abdomen, shows a large aortic aneurysm (arrow), which is contiguous with the origin of the renal arteries. Note especially the origin of the left renal artery, clearly visible immediately adjacent to the pseudoaneurysm, and the subsequent course of the vessel along the anterior aspect of the pseudoaneurysm. B) Another cross-sectional view of the abdomen by CT shows the origin and course of the right renal artery, which originates from the pseudoaneurysm.
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Fig. 2 Schematic drawing demonstrates anatomic relationships, the surgical approach to the supraceliac aorta (dotted line), and the infrarenal pseudoaneurysm in proximity to the origin of the renal vessels. A. = artery; IVC = inferior vena cava; Lt. = left; Rt. = right; Sup. = superior
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Fig. 3 Schematic drawing depicts postoperative findings after placement of an interposition prosthetic graft between the proximal aorta and the previously placed aortic graft.

References

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