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Abstract
BackgroundAn 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 presentationWe 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.ConclusionThis 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.
Highlights
An ascending aortic pseudoaneurysm (AAP) is a severe and rare complication following cardiothoracic surgery
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
Chest pain, or mass effect, but it is possible to find a pseudoaneurysm upon imaging evaluation in asymptomatic patients [1, 2]
Summary
Interdisciplinary communication between cardiovascular radiologists and the cardiac surgery team is essential to improve diagnostic skills in identifying postoperative complications. Authors’ contributions MC drafted part of the article; made a substantial contribution to the acquisition, analysis, or interpretation of data; and revised the article critically for important intellectual content. LS, FDT, LB, FD’E, MP, LP, FR, VDS, CDD, and MP drafted part of the article and made a substantial contribution to the acquisition, analysis, or interpretation of data. DFC made a substantial contribution to the acquisition, analysis, and interpretation of data and performed transthoracic and transesophageal echocardiography. RF revised the article critically for important intellectual content. Availability of data and materials Data sharing is not applicable to this article, because no datasets were generated or analyzed during the current study. Ethics approval and consent to participate Not applicable. Author details 1Department of Diagnostic Imaging and Interventional Radiology, Policlinico Tor Vergata, Rome, Italy. Author details 1Department of Diagnostic Imaging and Interventional Radiology, Policlinico Tor Vergata, Rome, Italy. 2Cardiothoracic Anesthesiology PTV Foundation, “Tor Vergata” Hospital University of Rome “Tor Vergata” Viale Oxford, 81-00133 Rome, Italy
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