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Abstract

 
ABSTRACT
Aortic pseudo-aneurysm (AP) is a rare complication that can occur after cardiac surgery. We report the case of a 37-year-old woman referred to our unit for a compressive discomfort in the retro-sternum nine month after a double mechanical valve replacement and root enlargement. A giant AP (116 × 55 mm) originating at the level of the proximal aorta was diagnosed and the patient underwent a successful  surgical reintervention with patch reconstruction of the aortic root.
RÉSUMÉ  
Le pseudo-anévrisme aortique (PA) est une complication rare après une chirurgie cardiaque. Nous rapportons le cas d'une femme âgée de 37 ans, adressée à notre service pour une gêne compressive retro-sternale neuf mois après un double remplacement valvulaire avec prothèses mécaniques et élargissement de l’anneau aortique. Un énorme pseudo-anévrisme aortique de 116 × 55 mm prenant naissance au niveau de l’aorte proximale a été diagnostiqué et la patiente prise en charge avec succès par reconstruction avec patch en péricarde de la racine aortique.

 

Keywords

Aortic pseudoaneurysm; Redo cardiac surgery; sub-Saharan Africa. Pseudo-anévrisme aortique; Chirurgie cardiaque redux; Afrique sub-saharienne.

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Mve Mvondo, C., Ngo Yon, L. C., Ngatchou Djomo, W. ., Tsague Kengni, H. N., Magny, E., Moifo, B. ., & Ngowe Ngowe, M. (2023). Repair of a Giant Aortic Pseudo-aneurysm in a Patient with Previous Double Mechanical Valve Replacement and Aortic root Enlargement: a Case Report. HEALTH SCIENCES AND DISEASE, 24(3). https://doi.org/10.5281/hsd.v24i3.4110
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References

  1. Sullivan KL, Steiner RM, Smullens SN, Griska L, Meister SG. Pseudoaneurysm of the ascending aorta following cardiac surgery. Chest. 1988 Jan;93(1):138-43. doi: 10.1378/chest.93.1.138. PMID: 3257182.
  2. Miyata T, Sato O, Deguchi J, Kimura H, Namba T, Kondo K, Makuuchi M, Hamada C, Takagi A, Tada Y. Anastomotic aneurysms after surgical treatment of Takayasu's arteritis: a 40-year experience. J Vasc Surg. 1998 Mar;27(3):438-45. doi: 10.1016/s0741-5214(98)70318-0. PMID: 9546229.
  3. Santini F, Telesca M, Bertolini P, Tomezzoli A, Schiavo N, Faggian G, Mazzucco A. Precocious giant pseudoaneurysm of an "innocent" ascending aorta after bicuspid aortic valve replacement redo. Ann Thorac Surg. 2008 Jul;86(1):e1. doi: 10.1016/j.athoracsur.2008.04.062. PMID: 18573386.
  4. Galvin SD, Ninan SB, Lau GB, Galvin IF. Rupture of aortic pseudoaneursym arising from a transverse aortotomy line 12 years following mechanical aortic valve replacement. J Card Surg. 2010 Sep;25(5):563-5. doi: 10.1111/j.1540-8191.2010.01068.x. PMID: 20546076.
  5. Ikenaga S, Mikamo A, Kudo T, Kurazumi H, Suzuki R, Hamano K. Pseudoaneurysm of the ascending aorta 31 years after mitral valve replacement. Asian Cardiovasc Thorac Ann. 2014 Mar;22(3):332-4. doi: 10.1177/0218492312469519. Epub 2013 Jul 16. PMID: 24585911.
  6. Atik FA, Navia JL, Svensson LG, Vega PR, Feng J, Brizzio ME, Gillinov AM, Pettersson BG, Blackstone EH, Lytle BW. Surgical treatment of pseudoaneurysm of the thoracic aorta. J Thorac Cardiovasc Surg. 2006 Aug;132(2):379-85. doi: 10.1016/j.jtcvs.2006.03.052. PMID: 16872966.
  7. Enseleit F, Grünenfelder J, Braun J, Matthews F, Jenni R, van der Loo B. Formation of pseudoaneurysm after aortic valve replacement without previous endocarditis: a case-control study. J Am Soc Echocardiogr. 2010 Jul;23(7):741-6. doi: 10.1016/j.echo.2010.04.013. Epub 2010 May 26. PMID: 20510580.
  8. Emaminia A, Amirghofran AA, Shafa M, Moaref A, Javan R. Ascending aortic pseudoaneurysm after aortic valve replacement: Watch the tip of the cardioplegia cannula! J Thorac Cardiovasc Surg. 2009 May;137(5):1285-6. doi: 10.1016/j.jtcvs.2008.04.006. Epub 2008 Jun 12. PMID: 19380010.
  9. Malvindi PG, Cappai A, Raffa GM, Barbone A, Basciu A, Citterio E, Ornaghi D, Tarelli G, Settepani F. Analysis of postsurgical aortic false aneurysm in 27 patients. Tex Heart Inst J. 2013;40(3):274-80. PMID: 23914017; PMCID: PMC3709213.
  10. El Oumeiri B, Louagie Y, Buche M. Reoperation for ascending aorta false aneurysm using deep hypothermia and circulatory arrest. Interact Cardiovasc Thorac Surg. 2011 Apr;12(4):605-8. doi: 10.1510/icvts.2010.262378. Epub 2011 Jan 20. PMID: 21252209.
  11. Sullivan K.L.Steiner R.M. Smullens S.N. Griska L.Meister S.G. Pseudoaneurysm of the ascending aorta following cardiac surgery. Chest. 1998; 93: 138-143
  12. Bachet J, Pirotte M, Laborde F, Guilmet D. Reoperation for giant false aneurysm of the thoracic aorta: how to reenter the chest? Ann Thorac Surg. 2007 May;83(5):1610-4. doi: 10.1016/j.athoracsur.2006.12.044. PMID: 17462366.
  13. Settepani F, Muretti M, Barbone A, Citterio E, Eusebio A, Ornaghi D, Silvaggio G, Gallotti R. Reoperation for aortic false aneurysms: our experience and strategy for safe resternotomy. J Card Surg. 2008 May-Jun;23(3):216-20. doi: 10.1111/j.1540-8191.2008.00597.x. PMID: 18435635.
  14. Basu R, Zhang J, Zaheer S, Grimm J, Szeto W, Kalapatapu V. Ascending aorta thoracic endovascular aortic repair for infected pseudoaneurysm. J Vasc Surg Cases Innov Tech. 2022 Mar 9;8(2):244-247. doi: 10.1016/j.jvscit.2022.02.005. PMID: 35510219; PMCID: PMC9058959.
  15. Vogel J, Räber L, Makaloski V. Pseudoaneurysm Repair With a Septal Occluder. Vasc Endovascular Surg. 2022 Aug;56(6):628-630. doi: 10.1177/15385744221095922. Epub 2022 Apr 24. PMID: 35466833; PMCID: PMC9248001.
  16. Gomibuchi T, Kono T, Takahashi K, Wada Y, Fukui D, Amano J. Hybrid thoracic endovascular aortic repair of ascending aortic pseudoaneurysm. J Vasc Surg. 2014 Jun;59(6):1695-7. doi: 10.1016/j.jvs.2013.05.090. PMID: 24836766.
  17. Orrico M, Ronchey S, Mangialardi N. Coil Embolisation of an Ascending Aortic Pseudo-aneurysm to Avoid a Second Ascending Aortic Redo Operation. Eur J Vasc Endovasc Surg. 2021 Feb;61(2):340. doi: 10.1016/j.ejvs.2020.10.024. Epub 2020 Nov 28. PMID: 33262090.
  18. Mvondo, C. M., Ngatchou, W., Kengni, H. N. T., & Ngowe, M. N. (2021). Surgical repair of thoracic aortic aneurysm and dissection in the Sub-Saharan Africa: 30-day outcomes from a Cameroonian Center. African Annals of Thoracic and Cardiovascular Surgery, 13(1), 1-6.
  19. Garisto JD, Medina A, Williams DB, Carrillo RG. Surgical management of a giant ascending aortic pseudoaneurysm. Tex Heart Inst J. 2010;37(6):710-3. PMID: 21224953; PMCID: PMC3014128.
  20. Dumont E, Carrier M, Cartier R, Pellerin M, Poirier N, Bouchard D, Perrault LP. Repair of aortic false aneurysm using deep hypothermia and circulatory arrest. Ann Thorac Surg. 2004 Jul;78(1):117-20; discussion 120-1. doi: 10.1016/j.athoracsur.2004.01.028. PMID: 15223414.
  21. Katsumata T, Moorjani N, Vaccari G, Westaby S. Mediastinal false aneurysm after thoracic aortic surgery. Ann Thorac Surg. 2000 Aug;70(2):547-52. doi: 10.1016/s0003-4975(00)01300-x. PMID: 10969678.
  22. Inaba Y, Ito T, Hayashi S, Iida Y, Misumi T, Shimizu H. Surgical Strategy for Thoracic Aortic Pseudoaneurysm with Sternal Adherence. Ann Vasc Dis. 2016;9(3):235-239. doi: 10.3400/avd.cr.16-00035. Epub 2016 Jul 26. PMID: 27738471; PMCID: PMC5027266.
  23. Greco E, Santamaria V, D’Abramo M, Totaro M, Frati G, Miraldi F. Get out of trouble during redo surgery for false aneurysm of the ascending aorta. Asian Cardiovascular and Thoracic Annals. 2020;28(2):104-107. doi:10.1177/0218492319883528

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