Surgical management of a pulsatile chest wall mass secondary to an ascending aortic aneurysm in a patient with bovine arch. Issue 1 (8th October 2020)

• Record Type: Journal Article
• Authors: Chen, Stacey; Smith, Deane E.; Lester, Lynette; Galloway, Aubrey C.
• Is Part Of: Journal of cardiac surgery. Volume 36:Issue 1(2021)
• Page Start: 315
• Page End: 317
• Publication Date: 2020-10-08
• Subjects: aortic pseudoaneurysm -- cerebral protection -- deep hypothermic cardiac arrest; Heart -- Surgery -- Periodicals; 617.412005
• DOI: 10.1111/jocs.15104
• Languages: English
• ISSNs: 0886-0440

Abstract

Abstract: Ascending aortic pseudoaneurysms are rare, but life‐threatening conditions, that often require intervention. While endovascular techniques have advanced significantly, the majority of these clinical scenarios preclude endovascular options and the primary treatment modality remains open surgical repair. Repair of an aortic pseudoaneurysm eroding through the sternum resulting in a pulsatile chest wall mass is technically challenging. We report the successful repair of a large ascending aortic pseudoaneurysm in a 62‐year‐old male with bovine arch anatomy and prior Type A dissection repair, presenting with contained rupture and a pulsatile chest wall mass.