Surgical repair of a pseudoaneurysm of the ascending aorta after aortic valve replacement |
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Authors: | de Almeida R M Lima J D Kahrbek T Tanomaru M |
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Affiliation: | Instituto de Moléstias Cardiovasculares de Cascavel, Policlínica de Cascavel, Cascavel, PR, 85806-050, Brazil. |
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Abstract: | We report the case of a patient with a pseudoaneurysm of the ascending aortic clinically diagnosed 5 months after surgical replacement of the aortic valve. Diagnosis was confirmed with the aid of two-dimensional echocardiography and helicoidal angiotomography. The corrective surgery, which consisted of a reinforced suture of the communication with the ascending aorta after opening and aspiration of the cavity of the pseudoaneurysm, was successfully performed through a complete sternotomy using extracorporeal circulation, femorofemoral cannulation, and moderate hypothermia, with no aortic clamping. |
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