Limits...
Anastomotic pseudoaneurysm at 30 years after thoracic aorta surgery.

Ren CW, Huang LJ, Lai YQ, Sun LZ, Xu SD - Chin. Med. J. (2015)

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiovascular Surgery Center, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Stent-grafting can be performed under local anesthesia without requiring dissection through the scars of previous operative sites... Furthermore, the blood loss, procedural time, and length of hospital stay were significantly reduced because of the minimal invasive nature of stent-grafting... In the present case, the patient underwent thoracic aorta replacement 30 years ago when he was under-aged... Our procedure is more ideal for old, fragile patients with comorbidities or for redo cases with a high risk of injury for conventional open surgery... The patient did not have any signs of chest pain... During the first decade, after his first operation, the patient routinely had a CT scan... However, no abnormalities were found... The anastomotic pseudoaneurysm was discovered only when the patient underwent a transcatheter atrial fibrillation radiofrequency procedure... Therefore, the patients should receive follow-up regularly even when they feel that everything is well... In conclusion, the stent-graft technique is safe and has low invasiveness compared with conventional open surgery... This method decreases the damage to the patient as well as reduces mortality and morbidity.

Show MeSH

Related in: MedlinePlus

The anastomotic pseudoaneurysm occurred 30 years after aorta surgery and computed tomography scan showed the absolute exclusion of the aneurysm after 3 months of follow-up.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4834789&req=5

Figure 1: The anastomotic pseudoaneurysm occurred 30 years after aorta surgery and computed tomography scan showed the absolute exclusion of the aneurysm after 3 months of follow-up.

Mentions: A 45-year-old male was admitted because the angiograph showed a pseudoaneurysm during an atrial fibrillation radiofrequency procedure. The patient did not have hypertension or chest pain. He had a history of thoracic aorta replacement, which was performed 30 years ago because of a coarctation of the descending aorta. Computed tomography (CT) confirmed the anastomotic pseudoaneurysm [Figure 1]. Consequently, the implantation of a stent-graft was planned to exclude the pseudoaneurysm. This procedure was performed in the catheter laboratory. Local anesthesia was used. The precise location of the leakage of the pseudoaneurysm was identified from the angiograph. A transverse arteriotomy was made on the right femoral artery. The delivery system was introduced with the super-stiff guidewire to the appropriate position. After the systolic blood pressure had been decreased to <100 mmHg, the stent-graft was deployed under fluoroscopy. A second angiograph showed that the shape of the stent-graft was satisfactory. No endoleaks and migration were observed. The patient was discharged uneventfully on the 3rd day after the endovascular procedure. A CT scan showed the absolute exclusion of the aneurysm [Figure 1] after 3 months of follow-up.


Anastomotic pseudoaneurysm at 30 years after thoracic aorta surgery.

Ren CW, Huang LJ, Lai YQ, Sun LZ, Xu SD - Chin. Med. J. (2015)

The anastomotic pseudoaneurysm occurred 30 years after aorta surgery and computed tomography scan showed the absolute exclusion of the aneurysm after 3 months of follow-up.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4834789&req=5

Figure 1: The anastomotic pseudoaneurysm occurred 30 years after aorta surgery and computed tomography scan showed the absolute exclusion of the aneurysm after 3 months of follow-up.
Mentions: A 45-year-old male was admitted because the angiograph showed a pseudoaneurysm during an atrial fibrillation radiofrequency procedure. The patient did not have hypertension or chest pain. He had a history of thoracic aorta replacement, which was performed 30 years ago because of a coarctation of the descending aorta. Computed tomography (CT) confirmed the anastomotic pseudoaneurysm [Figure 1]. Consequently, the implantation of a stent-graft was planned to exclude the pseudoaneurysm. This procedure was performed in the catheter laboratory. Local anesthesia was used. The precise location of the leakage of the pseudoaneurysm was identified from the angiograph. A transverse arteriotomy was made on the right femoral artery. The delivery system was introduced with the super-stiff guidewire to the appropriate position. After the systolic blood pressure had been decreased to <100 mmHg, the stent-graft was deployed under fluoroscopy. A second angiograph showed that the shape of the stent-graft was satisfactory. No endoleaks and migration were observed. The patient was discharged uneventfully on the 3rd day after the endovascular procedure. A CT scan showed the absolute exclusion of the aneurysm [Figure 1] after 3 months of follow-up.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiovascular Surgery Center, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Stent-grafting can be performed under local anesthesia without requiring dissection through the scars of previous operative sites... Furthermore, the blood loss, procedural time, and length of hospital stay were significantly reduced because of the minimal invasive nature of stent-grafting... In the present case, the patient underwent thoracic aorta replacement 30 years ago when he was under-aged... Our procedure is more ideal for old, fragile patients with comorbidities or for redo cases with a high risk of injury for conventional open surgery... The patient did not have any signs of chest pain... During the first decade, after his first operation, the patient routinely had a CT scan... However, no abnormalities were found... The anastomotic pseudoaneurysm was discovered only when the patient underwent a transcatheter atrial fibrillation radiofrequency procedure... Therefore, the patients should receive follow-up regularly even when they feel that everything is well... In conclusion, the stent-graft technique is safe and has low invasiveness compared with conventional open surgery... This method decreases the damage to the patient as well as reduces mortality and morbidity.

Show MeSH
Related in: MedlinePlus