False aneurysm of ascending aortic cannulation site after cardiac surgery. Case report and literature review

False ascending aortic aneurysm, as a complication in cardiac surgery, has an incidence of less than 0.5%, but a mortality that ranges from 6.7% to 60%. Aortic manipulation and infection are the main predisposing factors. Its clinical presentation is non-specific and may be found incidentally on sub...

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Bibliographic Details
Published in:	CorSalud Vol. 11; no. 3; pp. 249 - 257
Main Authors:	Ernesto Chaljub Bravo, Gustavo de J. Bermúdez Yera, Rolando Del Sol Berriel, Mario E. Nápoles Lizano, Idael Torres González
Format:	Journal Article
Language:	English Spanish
Published:	Cardiocentro Ernesto Che Guevara 01-07-2019
Online Access:	Get full text
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Summary:	False ascending aortic aneurysm, as a complication in cardiac surgery, has an incidence of less than 0.5%, but a mortality that ranges from 6.7% to 60%. Aortic manipulation and infection are the main predisposing factors. Its clinical presentation is non-specific and may be found incidentally on subsequent check-ups. The case of a patient undergoing mitral valve surgery who was diagnosed with ascending aortic false aneurysm, eleven months after postoperative period, requiring emergency surgical treatment is presented. The surgery was performed using extra-mediastinal peripheral cannulation, without induced circulatory arrest or hypothermia for proper dissection. The case shows a technical version to face an uncommon but highly challenging disease as it needs re-interventions and successful surgical strategies.
ISSN:	2078-7170