An anastomotic pseudoaneurysm after the aortic replacement surgery is a rare complication which could be lethal when it ruptures. So it should be corrected whenever it is found after the aortic surgery. The authors performed three surgical corrections in 2 cases. The first case is type B chronic aortic dissection with abdominal aortic aneurysm. After an abdominal aortic replacement, the patient developed an anastomotic pseudoaneurysm. We treated him with a thoracoabdominal aortic replacement. The second case is ruputred throacoabdominal aortic aneurysm. After a thoracoabdominal aortic replacement, the patient developed an anastomotic pseudoaneurysm in the proximal anastomosis. We treated her with aortic arch replacement. But She developed another pseudoaneurysm in the aortic root anastomotic site. So we performed secondary operation to reinforce the anastomosis. They all recovered from the operations without any complication and are being followed up.
Aneurysm ; Aneurysm, False* ; Aorta, Thoracic ; Aortic Aneurysm ; Aortic Aneurysm, Abdominal ; Humans ; Rupture

Thoracic aortic enlargement is a silent, but deadly, disease that is often diagnosed on imaging studies performed for unrelated indications and result in life threatening event such as aortic rupture and dissection. The etiologies underlying thoracic aortic enlargement are diverse and can range from degenerative or hypertensive aortic enlargement to more rare genetic disorders including Marfan syndrome and Loeys-Dietz syndrome. Therefore, the diagnosis and management of this disease can be complex. This review focuses on the periodic surveillance using imaging modality before surgical intervention and medical management of asymptomatic patients with thoracic aortic aneurysm.
Aortic Aneurysm, Thoracic* ; Aortic Rupture ; Diagnosis ; Humans ; Loeys-Dietz Syndrome ; Marfan Syndrome ; Medication Therapy Management

Thoracic aortic aneurysms are less common than abdominal aortic aneurysms, however they are life-threatening and usually asymptomatic until acute complications occur. The majority of thoracic aorta aneurysm are associated with medial degeneration rather than atherosclerosis and the fusiform aortic aneurysm is common. Considering that it usually occurs during the sixth and seventh decades of life, its occurrence in a peripartum woman is unusual. Aortic dissection or thoracic aortic aneurysm with aortic insufficiency during pregnancy or peripartum has been reported, however, to our knowledge, the case of ascending thoracic aortic aneurysm in peripartum women, with saccular type without aortic valve involvement but not diffuse dilatation, has not been reported. Herein, we presented two autopsy cases of ascending thoracic aortic aneurysm during postpartum.
Aneurysm ; Aorta, Thoracic ; Aortic Aneurysm ; Aortic Aneurysm, Abdominal ; Aortic Aneurysm, Thoracic ; Aortic Valve ; Atherosclerosis ; Autopsy ; Dilatation ; Female ; Humans ; Peripartum Period ; Postpartum Period ; Pregnancy ; Rupture

Concurrent thoracic and abdominal aortic aneurysm is uncommon. It remains a formidable surgical challenge to vascular surgeons, as decision to treat in staged or simultaneous setting still debatable. We present, here, a case of a 62-year-old-man with asymptomatic concurrent thoracic and abdominal aortic aneurysms, which was successfully treated with two-stage hybrid endovascular repair. The aim of this case report is to discuss the treatment options available, possible associated complications and measures to prevent them.
Aortic Aneurysm, Abdominal ; Aortic Aneurysm, Thoracic

Tuberous sclerosis is an autosomal dominant disorder characterized by the presence of hamartomatous lesion in tissues derived form all three germinal layers. Abdominal aortic aneurysms and rib changes are very rare in tuberous sclerosis. We report the unusual CT features of thoracic aortic aneurysm and sclerosis of ribs in a patient with tuberous sclerosis.
Aortic Aneurysm* ; Aortic Aneurysm, Abdominal ; Aortic Aneurysm, Thoracic ; Humans ; Ribs* ; Sclerosis ; Tuberous Sclerosis*

No abstract available.
Aortic Aneurysm, Thoracic ; Infarction ; Rupture ; Spinal Cord

Penetrating aortic ulcers (PAUs) are part of acute aortic syndrome and can cause aortic rupture. We report a case of abdominal aortic aneurysm (AAA) with a PAU in the thoracic aorta. The patient was treated with thoracic aortic endovascular repair (TEVAR) for the PAU and open repair for the AAA. A 78-year-old man was admitted due to abdominal discomfort. Computed tomography (CT) showed a 6.8-cm AAA with a short neck and a large (4.2 x 3.3 cm) thoracic PAU. The patient was scheduled for AAA repair. Due to the risk of rupture of the thoracic PAU, TEVAR was performed in the PAU before surgery for the AAA. After stent graft insertion, the patient underwent surgery to repair the AAA. A follow-up CT scan showed no endoleakage or thrombus formation in the PAU. The patient had no specific symptoms during 1 year of follow-up.
Aged ; Aorta, Thoracic ; Aortic Aneurysm, Abdominal ; Aortic Rupture ; Follow-Up Studies ; Humans ; Neck ; Rupture ; Stents ; Thrombosis ; Transplants ; Ulcer

Penetrating aortic ulcers (PAUs) are part of acute aortic syndrome and can cause aortic rupture. We report a case of abdominal aortic aneurysm (AAA) with a PAU in the thoracic aorta. The patient was treated with thoracic aortic endovascular repair (TEVAR) for the PAU and open repair for the AAA. A 78-year-old man was admitted due to abdominal discomfort. Computed tomography (CT) showed a 6.8-cm AAA with a short neck and a large (4.2 x 3.3 cm) thoracic PAU. The patient was scheduled for AAA repair. Due to the risk of rupture of the thoracic PAU, TEVAR was performed in the PAU before surgery for the AAA. After stent graft insertion, the patient underwent surgery to repair the AAA. A follow-up CT scan showed no endoleakage or thrombus formation in the PAU. The patient had no specific symptoms during 1 year of follow-up.
Aged ; Aorta, Thoracic ; Aortic Aneurysm, Abdominal ; Aortic Rupture ; Follow-Up Studies ; Humans ; Neck ; Rupture ; Stents ; Thrombosis ; Transplants ; Ulcer

Endovascular aneurysm repair (EVAR) has progressively become the preferred method for abdominal aortic aneurysm repair. Controlled studies have indicated that EVAR is related to decreased perioperative morbidity and mortality compared with open repair. However, long-term complications are more common. The most common complication following EVAR is an endoleak. Few studies on delayed type Ib endoleak with aortic rupture have been found in the literature. We report a case of a 92-year-old man with a delayed type Ib endoleak with aortic rupture that developed 7 years after EVAR. Lifelong surveillance after EVAR is mandatory.
Aneurysm ; Aortic Aneurysm, Abdominal* ; Aortic Rupture* ; Endoleak* ; Mortality ; Rupture

Aneurysm, Dissecting ; Aorta ; Aortic Aneurysm, Abdominal ; Aortic Aneurysm, Thoracic ; Blood Vessel Prosthesis Implantation ; Humans ; Marfan Syndrome