RESUMO
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.
Assuntos
Infecções por Acinetobacter/cirurgia , Falso Aneurisma/cirurgia , Aneurisma Infectado/cirurgia , Aneurisma Aórtico/cirurgia , Valva Aórtica/cirurgia , Implante de Prótese de Valva Cardíaca/efeitos adversos , Pericárdio/transplante , Esterno/cirurgia , Toracotomia , Procedimentos Cirúrgicos Vasculares/métodos , Infecções por Acinetobacter/diagnóstico por imagem , Infecções por Acinetobacter/microbiologia , Adulto , Idoso , Falso Aneurisma/diagnóstico por imagem , Falso Aneurisma/microbiologia , Aneurisma Infectado/diagnóstico por imagem , Aneurisma Infectado/microbiologia , Animais , Aneurisma Aórtico/diagnóstico por imagem , Aneurisma Aórtico/microbiologia , Aortografia/métodos , Bovinos , Parada Circulatória Induzida por Hipotermia Profunda , Angiografia por Tomografia Computadorizada , Feminino , Xenoenxertos , Humanos , Masculino , Esterno/diagnóstico por imagem , Esterno/patologia , Resultado do TratamentoRESUMO
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.
