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Ann Thorac Surg 2009;87:936-939. doi:10.1016/j.athoracsur.2008.07.046
© 2009 The Society of Thoracic Surgeons
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Takashi Watanabe
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Case Reports

Nonmycotic False Aneurysm of Aortic Cannulation Site Presenting 26 Years Postoperatively

Hiroomi Murayama, MD*, Takashi Watanabe, MD, Yoriko Kobayashi, MD, Yasumoto Matsumura, MD, Atsukata Kobayashi, MD

Department of Thoracic and Cardiovascular Surgery, Toyohashi Municipal Hospital, Toyohashi, Japan

Accepted for publication July 16, 2008.

* Address correspondence to Dr Murayama, Department of Thoracic and Cardiovascular Surgery, Toyohashi Municipal Hospital, 50 Hakken-nishi, Aotake-cho, Toyohashi, 441-8570, Japan (Email: romiwo{at}mcn.ne.jp).

We report the case of a 64-year-old woman who presented with a false aneurysm in the ascending aorta where arterial cannulation was done in an operation 26 years earlier. The aneurysm was excised with the ascending aorta and successfully replaced with a prosthetic graft during deep hypothermic circulatory arrest and retrograde cerebral perfusion, accompanied with concomitant procedures of mitral valve replacement and maze procedure. When the aneurysm, 3.5 x 3.0 x 4.5 cm, was removed, it showed a remarkable sharp line of demarcation between the normal aorta. Microscopic examination of the specimen was consistent with the features of a pseudoaneurysm.






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