The Algerian Cardiac Surgeon
Volume 1, Numéro 1, Pages 74-79
2025-02-01
Faux Anévrysme Postopératoire Rompu De L'aorte Ascendante. Nouvelle Approche Thérapeutique: à Propos D'un Cas.
Auteurs : Medjber Nabil . Moussaoui Abdelrazek . Fellague Chebra Yassine . Touati Mohamed . Kara Maamar . Haddad Assia . Gadouche Feriel . Yahia Madjida . Djafer Boulanouar .
Résumé
Background: False aneurysm of the ascending aorta is a rare complication of cardiac surgery and remains burdened with high postoperative mortality. Advances in endovascular treatment have made it possible to manage it while avoiding high-risk iterative surgery. Case report: We report the case of a 51-year-old man operated in 2018 for an acute dissection of the aorta benefiting from replacement of the ascending aorta by a supra coronary tube and mechanical aortic valve replacement with consequences marked by a sternal infection. He returned 5 years later for severe acute hemorrhage caused by the rupture of a pre-sternal beating mass under anticoagulants. Blood transfusions posed enormous problems due to irregular agglutinins coming back strongly positive. Trans thoracic echocardiography revealed a pseudo aneurysm of the ascending aorta. Endovascular closure with an Amplatzer device was successfully performed. Conclusion: False aneurysm after cardiac surgery is a rare event but very difficult to manage; endovascular treatment is a promising technological advance, thus avoiding
Mots clés
Ascending aorta-Endovascular-False aneurysm.
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