Staged Hybrid Management of a Mycotic Ascending Aortic Pseudoaneurysm.

Ascending aortic pseudoaneurysm may pose significant risk for reoperative repair. We describe an 18-year-old man who presented with bacteremia and a large, mycotic ascending aortic pseudoaneurysm 3 months after redo cardiac surgery. A covered stent graft sealed the pseudoaneurysm neck and facilitated safe reentry into the mediastinum. Endovascular stenting of the ascending aorta may be effective as a bridge to open surgical repair in patients with an ascending aortic pseudoaneurysm.