Interventional repair of pseudoaneurysm of ascending aorta following prosthetic aortic valve replacement

Description

Ascending aorta pseudoaneurysm is a high-risk complication post cardiac surgery.1 Although surgical repair is the conventional method of treatment, it is associated with a high mortality rate of 30% and a very poor prognosis.2 We report an old man aged 85 years who underwent elective biological aortic valve replacement for severe aortic valve stenosis and closure of left atrial appendage with AtriClip. Cardiopulmonary bypass was established with standard ascending aorta and right atrial cannulations. The aortic valve was replaced with 27 mm Hancock II type using 2/0 Ethibond pledgetted sutures in interrupted suture techniques. His medical history included arterial hypertension and atrial fibrillation on rivaroxaban. Despite uneventful postoperative recovery and no symptoms at his follow-up, he presented 4 months later with sternal tenderness and soft tissue swelling at the midpart of sternotomy wound; oral antibiotic was started at that stage and he was discharged home. Two...

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