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Case Reports
. 2012 Apr;14(4):494-6.
doi: 10.1093/icvts/ivr134. Epub 2011 Dec 23.

Endovascular repair of ascending aortic pseudoaneurysm in a high-risk patient

Guido Gelpi  1 , Giovanni Cagnoni, Paolo Vanelli, Carlo Antona
Affiliations
Case Reports

Endovascular repair of ascending aortic pseudoaneurysm in a high-risk patient

Guido Gelpi et al. Interact Cardiovasc Thorac Surg. 2012 Apr.

Abstract

Mycotic ascending aortic pseudoaneurysm (AAP) is an uncommon but surgically challenging problem with high morbidity and mortality rates. We describe endovascular repair of an acute mycotic AAP in a high-risk patient. A 45-year old man, HIV serum positive, chronic hepatitis HBV and HCV related, presented, after two sternotomies, with a fast growing 11 6 cm AAP that was sealed with two Gore Exluder aortic cuffs, inserted from the left axillary artery. Nine months control CT continued to show no endoleak with shrinking of the AAP.

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Figures

Figure 1:
Figure 1:
Preoperative CT scan showing the AAP and its contiguity with the sternum.
Figure 2:
Figure 2:
Nine months control CT scan.
See this image and copyright information in PMC

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