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Minimally invasive closure of a progressive pseudoaneurysm of the ascending aorta: A case report

Ascending aortic pseudoaneurysm (AAP) is rare but may cause life-threatening complications. Although the placement of a stent graft and the use of occluder devices and vascular plugs to exclude pseudoaneurysm are adopted for some patients, the management of progressive pseudoaneurysms that may ruptu...

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Autores principales: Wu, Yuan, Fan, Linglin, Liu, Fei, Zhuang, Hui, Wu, Xijie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10064447/
https://www.ncbi.nlm.nih.gov/pubmed/37008339
http://dx.doi.org/10.3389/fcvm.2023.1134196
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author Wu, Yuan
Fan, Linglin
Liu, Fei
Zhuang, Hui
Wu, Xijie
author_facet Wu, Yuan
Fan, Linglin
Liu, Fei
Zhuang, Hui
Wu, Xijie
author_sort Wu, Yuan
collection PubMed
description Ascending aortic pseudoaneurysm (AAP) is rare but may cause life-threatening complications. Although the placement of a stent graft and the use of occluder devices and vascular plugs to exclude pseudoaneurysm are adopted for some patients, the management of progressive pseudoaneurysms that may rupture at any time remains a challenge that needs to be addressed. In this study, we present the case of a patient with an AAP that was caused by aortic and mitral valve replacement for the giant left ventricle. Aortic pseudoaneurysm was suspected on the basis of a spherical cystic echo (70 × 80 mm) of the ascending aorta; this pseudoaneurysm was detected by an ultrasonic cardiogram, and the diagnosis was confirmed by an aortic computed tomography angiography (CTA) examination. To prevent the unexpected rupture of a progressive pseudoaneurysm, our patient was treated with a 28- mm ASD occluder without any procedural complications. Our patient has a good prognosis, which will inspire clinicians to choose minimally invasive procedures when dealing with such high-risk cases in emergency situations.
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spelling pubmed-100644472023-04-01 Minimally invasive closure of a progressive pseudoaneurysm of the ascending aorta: A case report Wu, Yuan Fan, Linglin Liu, Fei Zhuang, Hui Wu, Xijie Front Cardiovasc Med Cardiovascular Medicine Ascending aortic pseudoaneurysm (AAP) is rare but may cause life-threatening complications. Although the placement of a stent graft and the use of occluder devices and vascular plugs to exclude pseudoaneurysm are adopted for some patients, the management of progressive pseudoaneurysms that may rupture at any time remains a challenge that needs to be addressed. In this study, we present the case of a patient with an AAP that was caused by aortic and mitral valve replacement for the giant left ventricle. Aortic pseudoaneurysm was suspected on the basis of a spherical cystic echo (70 × 80 mm) of the ascending aorta; this pseudoaneurysm was detected by an ultrasonic cardiogram, and the diagnosis was confirmed by an aortic computed tomography angiography (CTA) examination. To prevent the unexpected rupture of a progressive pseudoaneurysm, our patient was treated with a 28- mm ASD occluder without any procedural complications. Our patient has a good prognosis, which will inspire clinicians to choose minimally invasive procedures when dealing with such high-risk cases in emergency situations. Frontiers Media S.A. 2023-03-20 /pmc/articles/PMC10064447/ /pubmed/37008339 http://dx.doi.org/10.3389/fcvm.2023.1134196 Text en © 2023 Wu, Fan, Liu, Zhuang and Wu. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Cardiovascular Medicine
Wu, Yuan
Fan, Linglin
Liu, Fei
Zhuang, Hui
Wu, Xijie
Minimally invasive closure of a progressive pseudoaneurysm of the ascending aorta: A case report
title Minimally invasive closure of a progressive pseudoaneurysm of the ascending aorta: A case report
title_full Minimally invasive closure of a progressive pseudoaneurysm of the ascending aorta: A case report
title_fullStr Minimally invasive closure of a progressive pseudoaneurysm of the ascending aorta: A case report
title_full_unstemmed Minimally invasive closure of a progressive pseudoaneurysm of the ascending aorta: A case report
title_short Minimally invasive closure of a progressive pseudoaneurysm of the ascending aorta: A case report
title_sort minimally invasive closure of a progressive pseudoaneurysm of the ascending aorta: a case report
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10064447/
https://www.ncbi.nlm.nih.gov/pubmed/37008339
http://dx.doi.org/10.3389/fcvm.2023.1134196
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