Development of a Pseudoaneurysm of the Thoracic Aorta at the Cannulation Site : Our Experience with Three Cases
10.4326/jjcvs.42.320
- VernacularTitle:送血管および心筋保護液注入針の挿入部から発生した胸部仮性大動脈瘤の3例
- Author:
Yuichiro Hirata
;
Satoru Tobinaga
;
Hiroyuki Saisho
;
Kumiko Wada
;
Tomokazu Ohno
;
Eiji Nakamura
;
Yukio Hosokawa
;
Shinichi Hiromatsu
;
Hidetoshi Akashi
;
Hiroyuki Tanaka
- Publication Type:Journal Article
- Keywords:
pseudoaneurysm;
late complication after cardiac surgery;
post-congenital cardiac surgery
- From:Japanese Journal of Cardiovascular Surgery
2013;42(4):320-323
- CountryJapan
- Language:Japanese
-
Abstract:
A pseudoaneurysm of the thoracic aorta after cardiac surgery is a rare complication, but can be life-threatening when it is ruptured. The pseudoaneurysm itself presents no symptoms in many cases, or may be similar to an atherosclerotic aortic aneurysm. Therefore, it is usually found incidently during imaging studies. We encountered 3 cases of pseudoaneurysm of the thoracic aorta that developed during the long-term follow-up after congenital cardiac surgery. None of the patients experienced specific symptoms associated with the pseudoaneurysm, and were diagnosed by chest roentgenograms and computed tomography. Most patients who undergo surgery for congenital heart defects as adolescents are free from medical treatment, and do not regularly see a doctor after the surgery. It is important to consider the possibility of a pseudoaneurysm in patients having a history of cardiac surgery.