Abstract
Methods A 71 year old male with aortic aneurysm was referred for consideration of surgery. The patient comes to the emergency department to present an acute left chest pain. He was a history of duodenal ulcer and arterial hypertension. Rx thorax demonstrated mediastinal widening compatible with giant aortic aneurysm. The echocardiogram (TTE) confirmed normal sized cardiac cavities and ascending aortic aneurysm. Aortography presented severe dilatation of ascending thoracic aorta with moderated aortic regurgitation. CT Angiography established supra-aortic ascending aneurysm with maximum dimension of 53 mm, 65 mm arch aneurysm and descending 106 mm in the transverse plane. Upper medial resternotomy, cardiopulmonary bypass and circulatory arrest complete with moderated hypothermia were performed as well as ascending aorta and arch replacement with reimplantation of the supraaortic trunks by hybrid prosthetic Evita Open Plus 33.
Highlights
We report a rare complication after successful Evita Open Plus® implantation with cardiopulmonary bypass and circulatory arrest complete for total aortic aneurysm treatment
A 71 year old male with aortic aneurysm was referred for consideration of surgery
In the control TTE was observed on the left ventricular apex two interconnected cavities support with left ventricular pseudoaneurysm, confirmed by CT angiogram
Summary
We report a rare complication after successful Evita Open Plus® implantation with cardiopulmonary bypass and circulatory arrest complete for total aortic aneurysm treatment. Left ventricular pseudoaneurysm after ascending, arch and descending aortic replacement with Evita Open Plus® prosthesis JR Echevarría*, M Fernández, M Blanco, H Valenzuela, G Laguna, P Pelaez From 23rd World Congress of the World Society of Cardio-Thoracic Surgeons Split, Croatia. Background We report a rare complication after successful Evita Open Plus® implantation with cardiopulmonary bypass and circulatory arrest complete for total aortic aneurysm treatment.
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