Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.17/1754
Título: Iatrogenic Aortic Pseudoaneurysm: a Forgotten Complication
Outros títulos: Pseudoaneurisma Iatrogénico da Aorta Ascendente: uma Complicação Esquecida
Autor: Almeida, S
Bico, P
Almeida, AR
Laranjeira, A
Banazol, N
Fragata, J
Rabaçal, C
Palavras-chave: HSM CCT
Aneurysm, False/etiology
Aorta
Aortic Diseases/etiology
Cardiac Surgical Procedures/adverse effects
Iatrogenic Disease
Mitral Valve/surgery
Data: 2014
Editora: Sociedade Portuguesa de Cardiologia
Citação: Rev Port Cardiol. 2014;33(2):113.e1-113.e5
Resumo: Pseudoaneurysms of the ascending aorta are a rare complication of cardiac surgery. However, the poor prognosis associated with this condition if untreated makes early diagnosis and treatment important. We present the case of a 66-year-old woman who had undergone mitral valvuloplasty 12 days previously, who was admitted with a diagnosis of new-onset atrial fibrillation. The transthoracic echocardiogram showed a clot in the right atrium and anticoagulation was initiated, followed by antibiotic therapy. After further investigation, the patient was diagnosed with a pseudoaneurysm of the ascending aorta and underwent surgical repair, followed by six weeks of antibiotic therapy. She was readmitted six months later for an abscess of the lower sternum and mediastinum. After a conservative approach with antibiotics and local drainage failed, recurrence of a large pseudoaneurysm compressing the superior vena cava was documented. A third operation was performed to debride the infected tissue and to place an aortic allograft. There were no postoperative complications.
Peer review: yes
URI: http://hdl.handle.net/10400.17/1754
Aparece nas colecções:CCT - Artigos

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