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Case Reports
. 2018 Jul;34(3):425-428.
doi: 10.1007/s12055-017-0623-x. Epub 2017 Dec 16.

A rare case of late aortic pseudoaneurysm post double valve replacement

Saha Soumyadip  1 , Raja Nayem  1 , Agarwal Anurag  1 , Mondal Tanunita  2 , Satyarthi Subodh  1
Affiliations
Case Reports

A rare case of late aortic pseudoaneurysm post double valve replacement

Saha Soumyadip et al. Indian J Thorac Cardiovasc Surg. 2018 Jul.

Abstract

Here, we present a case of pseudoaneurysm of the aorta, 2 years after double valve replacement (DVR) in an 18-year-old male patient presented with a pulsatile swelling over the sternum. The pseudoaneurysm of the aorta extending up to the skin 2 years after cardiac surgery is a rare condition. Most cases are asymptomatic and need emergency surgery. Here, we present the case which was successfully managed with surgery.

Keywords: Aorta; Double valve replacement; Pseudoaneurysm.

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Conflict of interest statement

Conflict of interestThe authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
a, b Showing pulsatile subcutaneous swelling. c Showing post excision of pseudoaneurysm
Fig. 2
Fig. 2
a Contrast-enhanced axial image showing a large pseudoaneurysm arising from the ascending aorta (Asc aorta) with narrow neck (red arrows). There is partial thrombus (yellow outline) surrounding the pseudoaneurysm sac. b Preoperative chest X-ray showing dilated ascending aorta. c Chest X-ray post excision
Fig. 3
Fig. 3
a Intraoperative image showing the rent in ascending aorta over previous aortotomy site with pseudoaneurysm sac dissected below. b Intraopearative image after repair of the rent with a double patch (white arrow)
See this image and copyright information in PMC

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