Percutaneous closure of giant ascending aortic pseudoaneurysm: 22 years after modified BlalockTaussig shunt with a septal occluder device

2021 ◽  
pp. 1-4
Author(s):  
Ikram Massoud ◽  
Atef Yehia
Keyword(s):  
Standard Treatment ◽  
Surgical Repair ◽  
Ascending Aorta ◽  
Stent Grafts ◽  
Fatal Complication ◽  
Aortic Pseudoaneurysm ◽  
Septal Occluder Device ◽  
Occluder Device ◽  
Aortopulmonary Fistula ◽  
Ascending Aortic Pseudoaneurysm

Abstract Pseudoaneurysm of the ascending aorta is rare (1–2%) and a potentially fatal complication following cardiac surgeries. Surgical repair is still the gold standard treatment of ascending aortic pseudoaneurysm. However, endovascular repair methods including stent grafts and Septal Occluder devices have been reported. We report a case of 38-year-old female patient who presented with giant ascending aortic pseudoaneurysm, and aortopulmonary fistula 22 years after modified BlalockTaussig shunt was managed by the transcatheter method. Septal Occluder device 20 mm diameter was delivered to seal the ostium.

Endovascular Repair of an Ascending Aortic Pseudoaneurysm With a Septal Occluder Device: Mid-Term Follow-Up

2008 ◽  
Vol 85 (1) ◽  
pp. 349-351 ◽  
Author(s):  
Jacques Kpodonu ◽  
Grayson H. Wheatley ◽  
Venkatesh G. Ramaiah ◽  
Julio A. Rodriguez-Lopez ◽  
Robert K. Strumpf ◽  
...  
Keyword(s):  
Endovascular Repair ◽  
Aortic Pseudoaneurysm ◽  
Septal Occluder Device ◽  
Occluder Device ◽  
Ascending Aortic Pseudoaneurysm

Mycotic Ascending Aortic Pseudoaneurysm at Aortic Cannulation Site

2009 ◽  
Vol 17 (4) ◽  
pp. 417-418 ◽  
Author(s):  
Gökçe Şirin ◽  
Ŏuz Yilmaz ◽  
Ergun Demirsoy ◽  
Servet Alan ◽  
Nerime Soybir ◽  
...  
Keyword(s):  
Mycotic Aneurysm ◽  
Bypass Surgery ◽  
Coronary Bypass ◽  
Ascending Aorta ◽  
Fatal Complication ◽  
Aortic Pseudoaneurysm ◽  
Aortic Cannulation ◽  
Mycotic Pseudoaneurysm ◽  
Cannulation Site ◽  
Ascending Aortic Pseudoaneurysm

Mycotic aneurysm of the aorta is a rare but highly fatal complication of coronary bypass surgery. A 49-year-old man developed mycotic pseudoaneurysm in the ascending aorta after coronary bypass in another hospital. Computed tomography showed the pseudoaneurysm originated from the previous aortic cannulation site. The defect was successfully repaired with pericardial-pledgeted sutures.

scholarly journals Percutaneous repair of an ascending aortic pseudoaneurysm with a septal occluder device

2005 ◽  
Vol 130 (2) ◽  
pp. 603-604 ◽  
Author(s):  
Christopher B. Komanapalli ◽  
Grant Burch ◽  
Uttam Tripathy ◽  
Matthew S. Slater ◽  
Howard K. Song
Keyword(s):  
Aortic Pseudoaneurysm ◽  
Percutaneous Repair ◽  
Septal Occluder Device ◽  
Occluder Device ◽  
Ascending Aortic Pseudoaneurysm

Novel percutaneous femoral arterial-transthoracic approach for closure of ascending aortic pseudoaneurysm with a septal occluder device in a child

2013 ◽  
Vol 24 (4) ◽  
pp. 752-755 ◽  
Author(s):  
Samer I. Masri ◽  
Marianne N. Majdalani ◽  
Fadi F. Bitar
Keyword(s):  
Transcatheter Closure ◽  
Rare Complication ◽  
High Morbidity ◽  
Transthoracic Approach ◽  
Aortic Pseudoaneurysm ◽  
First Case ◽  
Alternative Approach ◽  
Septal Occluder Device ◽  
Occluder Device ◽  
Ascending Aortic Pseudoaneurysm

AbstractAscending aortic pseudoaneurysms are a rare complication following cardiac surgery. Their traditional surgical management carries high morbidity and mortality, especially in patients with multiple comorbidities. Transcatheter closure of these pseudoaneurysms using a septal occluder device has been previously reported in adults as an alternative approach with fewer complications. We report the first case of a novel percutaneous femoral arterial-transthoracic approach for exclusion of an ascending aortic pseudoaneurysm with an Amplatzer atrial septal occluder device in a 9-year-old child with Takayasu's arteritis.

Iatrogenic “aortopulmonary window”: percutaneous rescue closure as a bridge to surgical repair

2015 ◽  
Vol 26 (3) ◽  
pp. 609-611 ◽  
Author(s):  
Davide Marini ◽  
Gaetana Ferraro ◽  
Gabriella Agnoletti
Keyword(s):  
Surgical Repair ◽  
Arterial Switch Operation ◽  
Pulmonary Trunk ◽  
Aortopulmonary Window ◽  
Severe Stenosis ◽  
Severe Scoliosis ◽  
Switch Operation ◽  
Septal Occluder Device ◽  
Occluder Device ◽  
The Right

AbstractWe present the case of a 15-year-old boy who underwent arterial switch operation due to transposition of the great arteries with severe scoliosis, obstruction of the right coronary ostium, and severe stenosis of the pulmonary trunk. Balloon angioplasty caused a large aortopulmonary shunt provoking myocardial ischaemia and pulmonary hypertension. The traumatic “aortopulmonary window” was percutaneously occluded using an Amplatzer Septal Occluder device as a bridge to surgical repair.

scholarly journals Acquired aortopulmonary fistula: a case report

2020 ◽  
Vol 4 (4) ◽  
pp. 1-5
Author(s):  
Osama Mahmoud ◽  
Hadi Elias ◽  
Arsalan Rafiq ◽  
Amro Alsaid
Keyword(s):  
Heart Failure ◽  
Cardiac Imaging ◽  
Multimodality Imaging ◽  
Main Pulmonary Artery ◽  
Bypass Graft ◽  
Stable Condition ◽  
Transoesophageal Echocardiography ◽  
Ascending Aorta ◽  
Aortic Pseudoaneurysm ◽  
Aortopulmonary Fistula

Abstract Background Aortopulmonary fistula is a rare complication of ascending aorta pathology. Presentation is most commonly dramatic with acute onset chest pain or heart failure secondary to left to right shunting. We describe a patient with acquired aortopulmonary fistula who had an insidious onset of heart failure as his presenting complaint. We also highlight the utility of multimodality cardiac imaging in establishing the diagnosis. Case summary A 79-year-old male patient with a history of coronary artery bypass graft surgery and mechanical aortic valve replacement, 23 years prior, presented with exertional dyspnoea of 7 months duration. An initial workup that included transthoracic and transoesophageal echocardiography as well as coronary and bypass graft angiography failed to diagnose an acquired aortopulmonary fistula complicating an ascending aortic pseudoaneurysm. Upon referral to our institution, the correct diagnosis was suspected on off-axis transthoracic echocardiography. The fistula was subsequently confirmed, and the extent of ascending aorta pathology defined via a multimodality imaging approach that consisted of transoesophageal echocardiography and cardiac computed tomography. The patient underwent successful surgical repair and was discharged in a stable condition. Discussion Acquired aortopulmonary fistula is a rare clinical entity. We describe a patient who had an insidious presentation of heart failure and found to have a large ascending aortic aneurysm that eroded into the main pulmonary artery creating a fistulous communication. The diagnosis was delayed and required a high index of suspicion and multimodality cardiac imaging.

Endoaortic Occlusion with the Intraclude Device during the Management of Ascending Aortic Pseudoaneurysm

2015 ◽  
Vol 10 (1) ◽  
pp. 71-72 ◽  
Author(s):  
Mark B. Anderson ◽  
Salil G. Shah ◽  
Jennifer L. Arnold
Keyword(s):  
Chest Pain ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Clinical Situation ◽  
Ascending Aorta ◽  
Aortic Pseudoaneurysm ◽  
Computed Tomographic ◽  
Computed Tomographic Scan ◽  
Ascending Aortic Pseudoaneurysm

A 63-year-old man was admitted with chest pain after a previous aortic valve replacement. Computed tomographic scan identified a 7-cm pseudoaneurysm of the ascending aorta, and he was referred for repair. At operation, endoaortic occlusion of the aorta was used to arrest the heart and decompress the aorta to facilitate sternal reentry, dissection, and subsequent control. To our knowledge, this technique has not been reported and represents a useful maneuver in this challenging clinical situation.

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