Transapical Coil Embolization of a Postsurgical Ascending Thoracic Aortic Pseudoaneurysm

Cardiovasc Intervent Radiol. 2019 Oct;42(10):1500-1504. doi: 10.1007/s00270-019-02291-w. Epub 2019 Jul 23.

Abstract

Ascending aortic pseudoaneurysms are a rare but potentially life-threatening complication of aortic root or cardiac surgery. Surgical repair is established as first-line treatment; however, patient comorbidities, technical considerations, and anatomic limitations often preclude patients from repeat surgery, thus necessitating alternative approaches. Here, we present a case of coil embolization of an ascending aortic pseudoaneurysm via a transapical approach in a particularly complex scenario where percutaneous and peripheral access was technically unfeasible.

Keywords: Ascending aortic pseudoaneurysm; Coil embolization; Transapical.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, False / diagnostic imaging
  • Aneurysm, False / therapy*
  • Aorta, Thoracic / diagnostic imaging
  • Aortic Aneurysm, Thoracic / diagnostic imaging
  • Aortic Aneurysm, Thoracic / therapy*
  • Cardiac Surgical Procedures
  • Computed Tomography Angiography
  • Embolization, Therapeutic / methods*
  • Fatal Outcome
  • Humans
  • Male
  • Middle Aged
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / therapy*