Hostname: page-component-77c89778f8-gvh9x Total loading time: 0 Render date: 2024-07-17T14:58:29.888Z Has data issue: false hasContentIssue false

Percutaneous closure of giant ascending aortic pseudoaneurysm: 22 years after modified BlalockTaussig shunt with a septal occluder device

Published online by Cambridge University Press:  20 August 2021

Ikram Massoud*
Affiliation:
Department of Pediatric Cardiology, National Heart Institute, Imbaba, Giza, Egypt
Atef Yehia
Affiliation:
Department of Pediatric Cardiology, National Heart Institute, Imbaba, Giza, Egypt
*
Author for correspondence: Dr I. Massoud, Pediatric Cardiology, National Heart Institute, 21A/20 Zahraa Al-Maadi, Giza, Egypt. Tel: 00201001779650. E-mail: ikrammassoud@hotmail.com

Abstract

Pseudoaneurysm of the ascending aorta is rare (1–2%) and a potentially fatal complication following cardiac surgeries. Surgical repair is still the gold standard treatment of ascending aortic pseudoaneurysm. However, endovascular repair methods including stent grafts and Septal Occluder devices have been reported. We report a case of 38-year-old female patient who presented with giant ascending aortic pseudoaneurysm, and aortopulmonary fistula 22 years after modified BlalockTaussig shunt was managed by the transcatheter method. Septal Occluder device 20 mm diameter was delivered to seal the ostium.

Type
Brief Report
Copyright
© The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

This work was done at National Heart Institute, Cairo Egypt.

References

Razzouk, A, Gundry, S, Wang, N, et al. Pseudoaneurysms of the aorta after cardiac surgery or chest trauma. Ann Surg 1993; 59: 818823.Google ScholarPubMed
Mulder, EJ, Van Bockel, JH, Maas, J, van den Akker, PJ, Hermans, J. Morbidity and mortality of reconstructive surgery of non-infected false aneurysms detected long after aortic prosthetic reconstruction. Arch Surg 1998; 133: 4549. DOI 10.1001/archsurg.133.1.45.CrossRefGoogle Scholar
Malvindi, PG, Van Putte, BP, Heijmen, RH, Schepens, MA, Morshuis, WJ. Reoperations for aortic false aneurysms after cardiac surgery. Ann Thorac Surg 2010; 90: 14371443. DOI 10.1016/j.athoracsur.2010.06.103.CrossRefGoogle ScholarPubMed
Quevedo, HC, Trinidad, RS, Castellanos, J, Atianzar, K, Anwar, A, Rafeh, NA. Systematic review of interventions to repair ascending aortic pseudoaneurysms. Ochsner J 2014; 14: 576585.Google ScholarPubMed
Agarwal, M, Ray, M, Pallavi, M, et al. Device occlusion of psudoaneurysm of ascending aorta. Ann Pediatric Cardiol 2011; 4: 195199. DOI 10.4103/0974-2069.84675.10.4103/0974-2069.84675CrossRefGoogle Scholar
Komanapalli, CB, Burch, G, Tripathy, U, Slater, MS, Song, HK. Percutaneous repair of ascending aortic pseudoaneurysm with a septal occulder device. J Thorac Cardiovasc Surg 2005; 130: 603604. DOI 10.1016/j.jtcvs.2005.02.044.CrossRefGoogle Scholar
Lin, PH, Bush, RL, Tong, FC, Chaikof, E, Martin, LG, Lumsden, AB. Intra-arterial thrombin injection of ascending aortic pseudoaneurysm complicated by transient ischemic attack and rescued with systemic abciximab. J Vasc Surg 2001; 34: 939942. DOI 10.1067/mva.2001.116968.10.1067/mva.2001.116968CrossRefGoogle ScholarPubMed
Kanani, RS, Neilan, TG, Palacios, IF, Garasic, JM. Novel use of the amplatzer septaloccluder device in the percutaneous closure of ascending aortic pseudoaneurysms: a case series. Catheter Cardiovasc Interv 2007; 69: 146153. DOI 10.1002/(ISSN)1522-726X.10.1002/ccd.20794CrossRefGoogle ScholarPubMed
Kpodonu, J, Wheatly, GH III, Ramaiah, VG, Rodriguez-Lopez, JA, Strumpf, RK, Diethrich, EB. Endovascular repair of an ascending aortic pseudoaneurysm with a septal occluder device: mid–term follow–up. Ann Thorac Surg 2008; 85: 349351. DOI 10.1016/j.athoracsur.2007.06.053.CrossRefGoogle ScholarPubMed
Hussain, J, Strumpf, R, Wheatley, G, Diethrich, E. Percutaneous closure of aortic pseudoaneurysm by amplatzeroccluder device-case series of six patients. Catheter Cardiovasc Interv 2009; 73: 521529. DOI 10.1002/ccd.21833.CrossRefGoogle ScholarPubMed
Supplementary material: File

Massoud and Yehia supplementary material

Massoud and Yehia supplementary material

Download Massoud and Yehia supplementary material(File)
File 20.1 MB