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CorSalud
versión On-line ISSN 2078-7170
Resumen
CHALJUB BRAVO, Ernesto et al. False aneurysm of ascending aortic cannulation site after cardiac surgery. Case report and literature review. CorSalud [online]. 2019, vol.11, n.3, pp. 249-257. Epub 01-Sep-2019. ISSN 2078-7170.
False ascending aortic aneurysm, as a complication in cardiac surgery, has an incidence of less than 0.5%, but a mortality that ranges from 6.7% to 60%. Aortic manipulation and infection are the main predisposing factors. Its clinical presentation is non-specific and may be found incidentally on subsequent check-ups. The case of a patient undergoing mitral valve surgery who was diagnosed with ascending aortic false aneurysm, eleven months after postoperative period, requiring emergency surgical treatment is presented. The surgery was performed using extra-mediastinal peripheral cannulation, without induced circulatory arrest or hypothermia for proper dissection. The case shows a technical version to face an uncommon but highly challenging disease as it needs re-interventions and successful surgical strategies.
Palabras clave : False aneurysm; Ascending aorta; Postoperative complications; Cardiovascular surgery; Thoracic surgery; Induced hypothermia.