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Ann Thorac Surg 2005;79:705-707
© 2005 The Society of Thoracic Surgeons

Case report

Pseudoaneurysm of Ascending Aorta After Aortic Valve Replacement

Bhawna Parihar, MCha, Lalit S. D. Choudhary, MSa, Andrew Philip Madhu, DNBa, Mathew K. Alpha, MSa, Roy Thankachen, MCha, Vinayak Shukla, MCh, DNBa,*

a Department of Thoracic and Cardiovascular Surgery, Christian Medical College and Hospital, Vellore, India

Accepted for publication September 5, 2003.

* Address reprint requests to Dr Shukla, Department of Thoracic and Cardiovascular Surgery, Christian Medical College and Hospital, Vellore 632 004, India
shukla58{at}hotmail.com

A pseudoaneurysm of the ascending aorta is an unusual and potentially fatal complication after aortic surgical procedures. A contrast computed tomographic scan is the investigation of choice. Surgical treatment is mandatory. We describe the successful management of a pseudoaneurysm of the ascending aorta by instituting femorofemoral bypass and achieving hypothermic circulatory arrest, which provided safe reentry and prevented an impending rupture.






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