Agarwal Mridul, Ray Mili, Pallavi M, Sen Supratim, Ganguly Debosree, Joshi Pankaj, Tanti Sanjay, Chattopadhyay Amitabh, Bandyopadhyay Biswajit
Department of Pediatric Cardiology, R. N. Tagore International Institute of Cardiac Sciences, Kolkata, India.
Ann Pediatr Cardiol. 2011 Jul;4(2):195-9. doi: 10.4103/0974-2069.84675.
Pseudoaneurysm of ascending aorta is an infrequent but well-recognized and potentially fatal complication after cardiac surgeries. The complication can develop early, delayed or late, and the presentation is also varied. We are presenting here two cases of pseudoaneurysm of ascending aorta following cardiac surgery that were successfully managed by the transcatheter method. The first one occurred following coronary artery bypass surgery and the second one occurred following double-valve replacement surgery. The aortic openings of these aneurysms were occluded with 12 mm and 10 mm atrial septal occluders, respectively, with a good outcome. An immediate postprocedure angiogram showed no residual flow into the sac. Six months of follow-up of both cases also showed excellent results.
升主动脉假性动脉瘤是心脏手术后一种罕见但已被充分认识且可能致命的并发症。该并发症可早期、延迟或晚期发生，表现也各不相同。我们在此呈现两例心脏手术后升主动脉假性动脉瘤病例，均通过经导管方法成功治疗。第一例发生在冠状动脉旁路移植术后，第二例发生在双瓣膜置换术后。这些动脉瘤的主动脉开口分别用12毫米和10毫米的房间隔封堵器封堵，效果良好。术后即刻血管造影显示无血液残留进入瘤腔。两例患者术后6个月的随访结果也都非常理想。
