A Case of Redo Ascending Aortic Replacement for Anastomotic Pseudoaneurysm through Right Thoracotomy in a Patient with Severe Coagulation Disorder

A 51-year-old man presented to our hospital with general fatigue and lower extremity edema due to right heart failure with severe coagulation disorder. He had undergone ascending aortic and total arch replacement for type A acute aortic dissection when he was 49 years old and had diagnosed with anas...

Full description

Saved in:
Bibliographic Details
Published inJapanese Journal of Cardiovascular Surgery Vol. 51; no. 3; pp. 163 - 166
Main Authors Nagata, Emi, Sato, Yoshiyuki, Takahashi, Koki
Format Journal Article
LanguageJapanese
Published The Japanese Society for Cardiovascular Surgery 15.05.2022
Subjects
anastomotic pseudoaneurysm
aorto-right atrium fistula
coagulation disorder
right thoracotomy
Online AccessGet full text

Cover

More Information
Summary:A 51-year-old man presented to our hospital with general fatigue and lower extremity edema due to right heart failure with severe coagulation disorder. He had undergone ascending aortic and total arch replacement for type A acute aortic dissection when he was 49 years old and had diagnosed with anastomotic pseudoaneurysm in the ascending aorta by computed tomography 1 year after the operation. Preoperative computed tomography showed an enlargement of the pseudoaneurysm. Since re-median sternotomy seemed to be high risk strategy for bleeding due to severe coagulation disorder, we decided to perform ascending aortic replacement through right thoracotomy. We opened the pseudoaneurysm and found an aorto-right atrium fistula. Redo ascending aortic replacement with direct closure of the fistula was successfully performed. The postoperative course was uneventful.
ISSN:0285-1474
1883-4108
DOI:10.4326/jjcvs.51.163