scholarly journals Aortic Pseudoaneurysm Following Aortic Valve Replacement Complicated by Sternal Wound Infection

2021 ◽  
Author(s):  
James Keiler ◽  
Erik Scott ◽  
Timothy George ◽  
Gorav Ailawadi
Keyword(s):  
Medical Literature ◽  
Rare Complication ◽  
High Morbidity ◽  
Aortic Pseudoaneurysm ◽  
Flap Coverage ◽  
Complex Patient ◽  
Cannulation Site ◽  
Sternal Wound Infections ◽  
Ascending Aortic Pseudoaneurysm ◽  
Deep Sternal Wound Infections

Pseudoaneurysm of the ascending aorta is a rare complication of cardiac surgery occurring in less than 0.5% of cases. Deep sternal wound infections (DSWI) increase the likelihood of aortic pseudoaneurysm. An ascending aortic pseudoaneurysm has high morbidity and the mortality rate has ranged from 29%-46% in the medical literature. We report a complex patient who underwent an AVR at an outside hospital complicated by DSWI requiring pectoral flap coverage. Months later, he was transferred to our institution with acute swelling of his sternum, diagnosed as massive aortic pseudoaneurysm originating from the cannulation site.

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.

scholarly journals Ascending aorta pseudoaneurysm simulating mediastinal lymphoma in computed tomography, a possible diagnostic error: a case report

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Marcello Chiocchi ◽  
Luigi Spiritigliozzi ◽  
Federica Di Tosto ◽  
Leonardo Benelli ◽  
Francesca D’Errico ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cardiac Surgery ◽  
Case Report ◽  
Rare Complication ◽  
Laboratory Data ◽  
Aortic Pseudoaneurysm ◽  
Computed Tomographic ◽  
Imaging Results ◽  
Mediastinal Lymphoma ◽  
Ascending Aortic Pseudoaneurysm

Abstract Background An ascending aortic pseudoaneurysm is a severe and rare complication following cardiothoracic surgery. This case report demonstrates its possible misinterpretation and the consequent importance of multidisciplinary evaluation. Case presentation We present a case of an 18-year-old Caucasian man with Marfan syndrome who developed an ascending aortic pseudoaneurysm about 1 year after undergoing cardiac surgery with the Bentall procedure. Computed tomographic examination of the thoracic aorta and positron emission tomography–computed tomography initially suggested a lymphomatous pathology. However, these imaging results were in contrast to the transesophageal echocardiogram and the laboratory data that showed negative results for hematological pathology. A second computed tomographic scan redirected the diagnosis toward a pseudoaneurysm. Conclusion This case demonstrates the utility of close communication and interdisciplinary consultation between cardiovascular radiologists and the cardiac surgery team, which are mandatory in order to maximize their diagnostic skills in identifying postoperative complications.

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 Less Invasive Management of Tissue Deficits for Deep Sternal Wound Infections

2020 ◽  
Vol 8 (4) ◽  
pp. e2776
Author(s):  
Hidetaka Watanabe ◽  
Tetsuji Uemura ◽  
Tetsu Yanai ◽  
Masato Kurokawa ◽  
Yoshimi Harada ◽  
...  
Keyword(s):  
Wound Infections ◽  
Less Invasive ◽  
Sternal Wound Infections ◽  
Invasive Management ◽  
Deep Sternal Wound Infections

Treatment of Pediatric Sternotomy Wound Complications: A Minimally Invasive Approach

2021 ◽  
Author(s):  
Taehee Jo ◽  
Joon Hur ◽  
Eun Key Kim
Keyword(s):  
Negative Pressure Wound Therapy ◽  
Wound Dehiscence ◽  
Surgical Debridement ◽  
Wound Complications ◽  
Approximation Technique ◽  
Invasive Approach ◽  
Nonsurgical Management ◽  
Single Use ◽  
Sternal Wound Infections ◽  
Deep Sternal Wound Infections

Abstract Background Pediatric sternal wound complications (SWCs) include sterile wound dehiscence (SWD) and superficial/deep sternal wound infections (SSWI/DSWI), and are generally managed by repetitive debridement and surgical wound approximation. Here, we report a novel nonsurgical management strategy of pediatric sternotomy wound complications, using serial noninvasive wound approximation technique combined with single-use negative pressure wound therapy (PICO) device. Methods Nine children with SWCs were managed by serial approximation with adhesive skin tapes and serial PICO device application. Thorough surgical debridement or surgical approximations were not performed. Results Three patients were clinically diagnosed as SWD, two patients as SSWI, and four patients as DSWI. None of the wounds demonstrated apparent mediastinitis or bone destructions. PICO device was applied at 16.1 days (range: 6–26 days) postoperatively, together with serial wound approximation by skin tapes. The average duration of PICO use was 16.9 days (range: 11–29 days) and the wound approximation was achieved in all patients. None of the patients underwent aggressive surgical debridement or invasive surgical approximation by sutures. Conclusion We report our successful management of selected pediatric SWCs, using serial noninvasive wound approximation technique combined with PICO device.

scholarly journals ENDOVASCULAR REPAIR OF ASCENDING AORTIC PSEUDOANEURYSM USING A RIGHT AXILLARY/SUBCLAVIAN ARTERY APPROACH

2015 ◽  
Vol 65 (10) ◽  
pp. A691
Author(s):  
Fawad Hameedi ◽  
Perwaiz Meraj ◽  
S. Jacob Scheinerman ◽  
Rajiv Jauhar ◽  
Robert Palazzo
Keyword(s):  
Subclavian Artery ◽  
Endovascular Repair ◽  
Aortic Pseudoaneurysm ◽  
Ascending Aortic Pseudoaneurysm

scholarly journals Pneumocephalus Following Self-Inflicted Penetrating Brain Injury

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Che-Fang Ho ◽  
Yuan-Yun Tam ◽  
Chia-Chen Wu
Keyword(s):  
Rare Complication ◽  
Bed Rest ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Adequate Treatment ◽  
Cerebrospinal Fluid Rhinorrhea ◽  
Intravenous Antibiotics ◽  
Computed Tomography Scans ◽  
Intravenous Hydration ◽  
Prompt Diagnosis

Objective. Pneumocephalus is a rare complication that often occurs after traumatic skull base injury, leading to morbidity and mortality. Material and Method. We present the case of a 42-year-old healthy man who injured himself when he stuck a metal stick into his left nasal cavity to relieve prolonged nasal obstruction. Immediate cerebrospinal fluid rhinorrhea and subsequent meningitis and pneumocephalus occurred later. He was presented at our hospital with fever and meningeal signs. Result. Computed tomography scans revealed left rhinosinusitis and air collection in the subarachnoid space. The patient received the conservative treatment of bed rest, intravenous hydration, head elevation, and broad-spectrum intravenous antibiotics. Pneumocephalus and meningitis resolved without any surgery, and he experienced no other sequela or complication. Conclusion. Pneumocephalus is a rare incidence and can lead to high morbidity and mortality. Prompt diagnosis and adequate treatment of pneumocephalus and meningitis proved beneficial for our patient who recovered without any complication or surgery.

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