A Case of Type I Debranching Complicated by Anastomotic Pseudoaneurysm: Do Not Ask Too Much of the Ascending Aorta

Davide Carino; Alberto Molardi; Tiziano Gherli; Francesco Nicolini; Andrea Agostinelli

doi:10.1055/s-0039-1688439

AORTA, Inhaltsverzeichnis

CC BY 4.0 · Aorta (Stamford) 2019; 07(02): 063-066
DOI: 10.1055/s-0039-1688439

Case Report

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

A Case of Type I Debranching Complicated by Anastomotic Pseudoaneurysm: Do Not Ask Too Much of the Ascending Aorta

Authors

Davide Carino

¹Department of Cardiac Surgery, Parma General Hospital, Parma, Italy
Alberto Molardi

¹Department of Cardiac Surgery, Parma General Hospital, Parma, Italy
Tiziano Gherli

¹Department of Cardiac Surgery, Parma General Hospital, Parma, Italy
Francesco Nicolini

¹Department of Cardiac Surgery, Parma General Hospital, Parma, Italy
Andrea Agostinelli

¹Department of Cardiac Surgery, Parma General Hospital, Parma, Italy

Abstract

Treatment of aortic arch aneurysm with standard open surgery is technically demanding, and associated morbidity and mortality are not insignificant. In high-risk patients, hybrid procedures with debranching and reimplantation or bypass of the aortic arch vessel followed by thoracic endovascular aortic repair (TEVAR) in the aortic arch represent a valid alternative to open surgery. However, when the ascending aorta is mildly dilated, the risk of retrograde dissection increases sharply. Here, we report a case of thoracic aortic aneurysm, with normal ascending aorta diameter, treated with Type I debranching and anterograde TEVAR complicated by anastomotic pseudoaneurysm and acute endocarditis, treated ultimately with ascending aortic repair and aortic valve replacement.

Keywords

hybrid arch repair - TEVAR

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Referenzen

References
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