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Ann Thorac Surg 1989;48:704-705
© 1989 The Society of Thoracic Surgeons


Articles

Pseudoaneurysm formation with superior vena caval syndrome 7 years after aortic composite graft placement

Edward O. McFalls, MD*, Robert Palac, MD, Hugh Gately, MD, Harkness S. Floten, MD

Divisions of Cardiology and Cardiovascular Surgery, Veterans Administration Medical Center, Portland, Oregon USA

Accepted for publication February 13, 1989.

* Address reprint requests to Dr McFalls, Cardiology, VA Medical Center, 1 Veterans Dr, Minneapolis, MN 55417.


    Abstract
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 Abstract
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With the advent of the composite graft for combined aortic valve and ascending aortic root operations, postoperative bleeding complications have been reduced. Hemorrhage along the suture sites may occur as a late complication and rarely may originate from the coronary-aortic graft junction. We report a case of a massive pseudoaneurysm, seen as "superior vena caval syndrome," 7 years after operation.


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  1. Bentall HH, DeBono A. A technique for complete replacement of the ascending aorta Thorax 1968;23:338-339.[Abstract/Free Full Text]
  2. Inberg MV, Niinikoski J, Savunen T, Vanttinen E. Total repair of annulo-aortic ectasia with composite graft and reimplantation of coronary ostia: a consecutive series of 41 patients World J Surg 1985;9:493-499.[Medline]
  3. Cabroi C, Pavie A, Mesnildrey P, et al. Long-term results with total replacement of the ascending aorta and reimplantation of the coronary arteries J Thorac Cardiovasc Surg 1986;91:17-25.[Abstract]
  4. Donaldson RM, Ross DN. Composite graft replacement for the treatment of aneurysms of the ascending aorta associated with aortic valvular disease Circulation 1982;66(Suppl 1):116-121.
  5. Kouchoukos NT, Marshall WG, Wedige-Stecher TA. Eleven-year experience with composite graft replacement of the ascending aorta and aortic valve J Thorac Cardiovasc Surg 1986;92:691-705.[Abstract]
  6. McCready RA, Pluth JR. Surgical treatment of ascending aortic aneurysms associated with aortic valve insufficiency Ann Thorac Surg 1979;28:307-316.[Abstract/Free Full Text]
  7. Nair KK. False aneurysm of the ascending aorta after surgery for Marfan's syndrome J Thorac Cardiovasc Surg 1976;71:765-767.[Abstract]
  8. Mayer JE, Lindsay WG, Wang Y, Jorensen CR, Nicoloff DM. Composite replacement of the aortic valve and ascending aorta J Thorac Cardiovasc Surg 1978;76:816-823.[Abstract]



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This Article
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