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Ann Thorac Surg 2004;77:311-312
© 2004 The Society of Thoracic Surgeons

Case report

Transfemoral control of ruptured aortic pseudoaneurysm at aortic root reoperation

Gosta Pettersson, MDa, Marcos Nores, MDa, A. Marc Gillinov, MDa*

a Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio, USA

Accepted for publication April 14, 2003.

* Address reprint requests to Dr Gillinov, Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, F24, 9500 Euclid Ave, Cleveland, OH 44195, USA
e-mail: gillinom{at}ccf.org

Median sternotomy in the setting of aortic pseudoaneurysm and/or rupture is hazardous, requiring technical modifications to prevent exsanguination. Free aortic disruption, particularly when accompanied by aortic regurgitation, presents a particularly challenging situation. The critical issue is to protect the brain and heart while obtaining control of the aorta. We report management of such a case using transfemoral balloon aortic occlusion.




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