Percutaneous closure of aortic pseudoaneurysm
To the Editor, Aortic pseudoaneurysm is a rare high-risk complication following surgery with aortic manipulation. This is the case of a 66-year-old male patient with a past medical history of aortic valve replacement 16 years ago. He required a second surgery 3 months later due to prosthetic valve e...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Permanyer
2021-08-01
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| Series: | REC: Interventional Cardiology (English Ed.) |
| Online Access: | https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=516 |
| _version_ | 1818651657956753408 |
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| author | Francisco Pomar Domingo Margarita Gudin Uriel Alba López March Miguel Jerez Valero Enrique Peris Domingo |
| author_facet | Francisco Pomar Domingo Margarita Gudin Uriel Alba López March Miguel Jerez Valero Enrique Peris Domingo |
| author_sort | Francisco Pomar Domingo |
| collection | DOAJ |
| description | To the Editor, Aortic pseudoaneurysm is a rare high-risk complication following surgery with aortic manipulation. This is the case of a 66-year-old male patient with a past medical history of aortic valve replacement 16 years ago. He required a second surgery 3 months later due to prosthetic valve endocarditis with mechanical valve replacement with homograft valve implantation. Since then, the patient has remained asymptomatic until 1 year ago when he developed progressive dyspnea. The echocardiographic study revealed severe aortic regurgitation with heavily calcified valve and ascending aorta. A new surgical intervention was performed to replace the homograft by a bioprosthesis. Surgery was very complex due to the presence of significant calcification. Two months after this last intervention the patient was admitted with clinical signs of thoracic pain and hemoptysis. The computed tomography scan performed revealed the presence of a narrow-necked aortic pseudoaneurysm at the ascending aorta lateral wall, probably at the level of the cannulation performed during the previous surgery with a large periaortic hematoma (figure 1). Although the surgical repairment of the aortic pseudoaneurysm is the routine treatment, in this case it would have been the fourth reintervention. Instead, percutaneous treatment was decided. |
| first_indexed | 2024-12-17T02:09:36Z |
| format | Article |
| id | doaj.art-4301cccbf9cb4a74a3a00b06d74aee8c |
| institution | Directory Open Access Journal |
| issn | 2604-7322 |
| language | English |
| last_indexed | 2024-12-17T02:09:36Z |
| publishDate | 2021-08-01 |
| publisher | Permanyer |
| record_format | Article |
| series | REC: Interventional Cardiology (English Ed.) |
| spelling | doaj.art-4301cccbf9cb4a74a3a00b06d74aee8c2022-12-21T22:07:36ZengPermanyerREC: Interventional Cardiology (English Ed.)2604-73222021-08-013322322510.24875/RECICE.M20000162Percutaneous closure of aortic pseudoaneurysmFrancisco Pomar Domingo0Margarita Gudin Uriel1Alba López March2Miguel Jerez Valero3Enrique Peris Domingo4Servicio de Cardiología, Hospital Universitario de La Ribera, Alzira, Valencia, SpainServicio de Cardiología, Hospital Universitario de La Ribera, Alzira, Valencia, SpainServicio de Cardiología, Hospital Manises, Manises, Valencia, SpainServicio de Cardiología, Hospital Manises, Manises, Valencia, SpainServicio de Cardiología, Hospital Universitario de La Ribera, Alzira, Valencia, SpainTo the Editor, Aortic pseudoaneurysm is a rare high-risk complication following surgery with aortic manipulation. This is the case of a 66-year-old male patient with a past medical history of aortic valve replacement 16 years ago. He required a second surgery 3 months later due to prosthetic valve endocarditis with mechanical valve replacement with homograft valve implantation. Since then, the patient has remained asymptomatic until 1 year ago when he developed progressive dyspnea. The echocardiographic study revealed severe aortic regurgitation with heavily calcified valve and ascending aorta. A new surgical intervention was performed to replace the homograft by a bioprosthesis. Surgery was very complex due to the presence of significant calcification. Two months after this last intervention the patient was admitted with clinical signs of thoracic pain and hemoptysis. The computed tomography scan performed revealed the presence of a narrow-necked aortic pseudoaneurysm at the ascending aorta lateral wall, probably at the level of the cannulation performed during the previous surgery with a large periaortic hematoma (figure 1). Although the surgical repairment of the aortic pseudoaneurysm is the routine treatment, in this case it would have been the fourth reintervention. Instead, percutaneous treatment was decided.https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=516 |
| spellingShingle | Francisco Pomar Domingo Margarita Gudin Uriel Alba López March Miguel Jerez Valero Enrique Peris Domingo Percutaneous closure of aortic pseudoaneurysm REC: Interventional Cardiology (English Ed.) |
| title | Percutaneous closure of aortic pseudoaneurysm |
| title_full | Percutaneous closure of aortic pseudoaneurysm |
| title_fullStr | Percutaneous closure of aortic pseudoaneurysm |
| title_full_unstemmed | Percutaneous closure of aortic pseudoaneurysm |
| title_short | Percutaneous closure of aortic pseudoaneurysm |
| title_sort | percutaneous closure of aortic pseudoaneurysm |
| url | https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=516 |
| work_keys_str_mv | AT franciscopomardomingo percutaneousclosureofaorticpseudoaneurysm AT margaritagudinuriel percutaneousclosureofaorticpseudoaneurysm AT albalopezmarch percutaneousclosureofaorticpseudoaneurysm AT migueljerezvalero percutaneousclosureofaorticpseudoaneurysm AT enriqueperisdomingo percutaneousclosureofaorticpseudoaneurysm |