Repair of ascending aortic pseudoaneurysm eroding through the sternum. (January 2019)

• Record Type: Journal Article
• Authors: Hasan, Sulaiman B; Khan, Fazal W; Hashmi, Shiraz; Tariq, Mohammad; Khan, Ghufranullah
• Is Part Of: Asian cardiovascular & thoracic annals. Volume 27:Number 1(2019)
• Page Start: 36
• Page End: 38
• Publication Date: 2019-01
• Subjects: Aortic pseudoaneurysm -- Sternal erosion -- Deep hypothermia -- Left ventricular vent; Heart -- Diseases -- Asia -- Periodicals; Heart -- Diseases -- Pacific Area -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Surgery -- Asia -- Periodicals; Heart -- Surgery -- Pacific Area -- Periodicals; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Asia -- Periodicals; Chest -- Surgery -- Pacific Area -- Periodicals; Chest -- Surgery -- Periodicals; 617.412
• DOI: 10.1177/0218492317707626
• Languages: English
• ISSNs: 0218-4923

Abstract

In reoperation for an ascending aortic pseudoaneurysm eroding through the sternum, a left ventricular vent allows careful unhurried sternal division under deep hypothermic circulatory arrest. We repaired ascending aortic pseudoaneurysms in 2 patients who had undergone aortic valve implantation 6 and 21 months earlier. A minithoracotomy was made in the left 5th intercostal space, and a vent was placed in the left ventricular apex. Repair was accomplished with a bovine pericardial patch reinforced with a Teflon felt strip. Both patients made an uneventful recovery with good functional status at discharge at the 8- and 18-month follow-up.