RESUMEN
In reoperation for an ascending aortic pseudoaneurysm eroding through the sternum, a left ventricular vent allows careful unhurried sternal division under deep hypothermic circulatory arrest. We repaired ascending aortic pseudoaneurysms in 2 patients who had undergone aortic valve implantation 6 and 21 months earlier. A minithoracotomy was made in the left 5th intercostal space, and a vent was placed in the left ventricular apex. Repair was accomplished with a bovine pericardial patch reinforced with a Teflon felt strip. Both patients made an uneventful recovery with good functional status at discharge at the 8- and 18-month follow-up.
Asunto(s)
Infecciones por Acinetobacter/cirugía , Aneurisma Falso/cirugía , Aneurisma Infectado/cirugía , Aneurisma de la Aorta/cirugía , Válvula Aórtica/cirugía , Implantación de Prótesis de Válvulas Cardíacas/efectos adversos , Pericardio/trasplante , Esternón/cirugía , Toracotomía , Procedimientos Quirúrgicos Vasculares/métodos , Infecciones por Acinetobacter/diagnóstico por imagen , Infecciones por Acinetobacter/microbiología , Adulto , Anciano , Aneurisma Falso/diagnóstico por imagen , Aneurisma Falso/microbiología , Aneurisma Infectado/diagnóstico por imagen , Aneurisma Infectado/microbiología , Animales , Aneurisma de la Aorta/diagnóstico por imagen , Aneurisma de la Aorta/microbiología , Aortografía/métodos , Bovinos , Paro Circulatorio Inducido por Hipotermia Profunda , Angiografía por Tomografía Computarizada , Femenino , Xenoinjertos , Humanos , Masculino , Esternón/diagnóstico por imagen , Esternón/patología , Resultado del TratamientoRESUMEN
Aneurysm of the sinus of Valsalva is a rare congenital cardiac anomaly. It occurs as an outpouching that progresses like a windsock, and it may rupture producing aortic regurgitation, cardiac tamponade, congestive heart failure, conduction abnormalities, and stroke. We describe a case of rupture of the sinus of Valsalva into the interventricular septum producing a large dissecting aneurysm. Despite the location, it did not produce a conduction abnormality.
