TITLE:
Repeated Surgery for Recurrent Pseudoaneurysms after Thoracoabdominal Aortic Replacement
AUTHORS:
Kazuchika Suzuki, Naoyuki Ishigami, Satoshi Akuzawa, Abul Hasan Muhammad Bashar, Motoaki Shirakawa, Tatsuya Igarashi, Hiroshi Mitsuoka
KEYWORDS:
Thoracoabdominal Aortic Replacement; Pseudoaneurysm; Endovascular Stent-Graft
JOURNAL NAME:
World Journal of Cardiovascular Surgery,
Vol.3 No.2,
June
20,
2013
ABSTRACT: Aneurysm or pseudoaneurysm formation in the aortic patch containing the intercostal or visceral arteries is an unusual late complication after thoracoabdominal aortic surgery. We report the case of a 58-year-old woman who had previously undergone thoracoabdominal aortic replacement (Crawford extent II) for dissecting aneurysm. About 12 months after the operation repeated pseudoaneurysmal degenerations occurred at the intercostal or visceral artery reattachment site. They were repaired with open surgery or endovascular stent-graft. The patient recovered without major complications, and computed tomographic scans showed no recurrence of aneurysm or pseudoaneurysm at the sites of repair 1 year after the procedure.