Repair of ascending aortic pseudoaneurysm eroding through the sternum.
In reoperation for an ascending aortic pseudoaneurysm eroding through the sternum, a left ventricular vent allows careful unhurried sternal division under deep hypothermic circulatory arrest. We repaired ascending aortic pseudoaneurysms in 2 patients who had undergone aortic valve implantation 6 and 21 months earlier. A minithoracotomy was made in the left 5th intercostal space, and a vent was placed in the left ventricular apex. Repair was accomplished with a bovine pericardial patch reinforced with a Teflon felt strip. Both patients made an uneventful recovery with good functional status at discharge at the 8- and 18-month follow-up.
['Hasan|Sulaiman B|SB|', 'Khan|Fazal W|FW|', 'Hashmi|Shiraz|S|', 'Tariq|Mohammad|M|', 'Khan|Ghufranullah|G|']
D000151:Acinetobacter Infections D000328:Adult D000368:Aged D017541:Aneurysm, False D000785:Aneurysm, Infected D000818:Animals D001014:Aortic Aneurysm D001021:Aortic Valve D001027:Aortography D002417:Cattle D050792:Circulatory Arrest, Deep Hypothermia Induced D000072226:Computed Tomography Angiography D005260:Female D019918:Heart Valve Prosthesis Implantation D064593:Heterografts D006801:Humans D008297:Male D010496:Pericardium D013249:Sternum D013908:Thoracotomy D016896:Treatment Outcome D014656:Vascular Surgical Procedures
Aortic pseudoaneurysm Left ventricular vent Deep hypothermia Sternal erosion