Short- and Mid-Term Follow-Up of Surgical Treatment of Postoperative Ascending Aortic Pseudoaneurysm

pp. 56-60

Abstract

Postoperative pseudoaneurysms of the ascending aorta constitute a severe complica tion of cardiovascular surgery, developing in most cases after aortic valve replace ment or myocardial revascularization surgery, and after other procedures involving aortic manipulation, trauma and infections. Six consecutive patients with pseudoaneurysm of the ascending aorta were studied and operated on at the Department of Cardiovascular Surgery of the Hospital Hermanos Ameijeiras over a 7-year period. The variables mainly related with the diagnosis and surgical procedures, as well as the outcome and subsequent follow-up, were analyzed. A history of aortic valve replacement was present in 83.4% of the patients; fever was the most prevalent symptom and pseudoaneurysms were most commonly located at the previous aortotomy site. Synthetic patch graft aortoplasty was the most frequently used procedure. In hospital mortality was 16.66% witha one-year survival of 66.66%.