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.