Iatrogenic aortic pseudoaneurysm: A forgotten complication
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.26/6232 |
Resumo: | Pseudoaneurysms of the ascending aorta are a rare complication of cardiac surgery. However, the poor prognosis associated with this condition if untreated makes early diagnosis and treatment important. We present the case of a 66-year-old woman who had undergone mitral valvuloplasty 12 days previously, who was admitted with a diagnosis of new-onset atrial fibrillation. The transthoracic echocardiogram showed a clot in the right atrium and anticoagulation was initiated, followed by antibiotic therapy. After further investigation, the patient was diagnosed with a pseudoaneurysm of the ascending aorta and underwent surgical repair, followed by six weeks of antibiotic therapy. She was readmitted six months later for an abscess of the lower sternum and mediastinum. After a conservative approach with antibiotics and local drainage failed, recurrence of a large pseudoaneurysm compressing the superior vena cava was documented. A third operation was performed to debride the infected tissue and to place an aortic allograft. There were no postoperative complications. |
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Iatrogenic aortic pseudoaneurysm: A forgotten complicationPseudoaneurisma iatrogénico da aorta ascendente: uma complicação esquecidaAneurysm, FalseAortic DiseasesAortic RupturePostoperative ComplicationsFalso AneurismaDoenças da AortaComplicações Pós-OperatóriasRuptura AórticaPseudoaneurysms of the ascending aorta are a rare complication of cardiac surgery. However, the poor prognosis associated with this condition if untreated makes early diagnosis and treatment important. We present the case of a 66-year-old woman who had undergone mitral valvuloplasty 12 days previously, who was admitted with a diagnosis of new-onset atrial fibrillation. The transthoracic echocardiogram showed a clot in the right atrium and anticoagulation was initiated, followed by antibiotic therapy. After further investigation, the patient was diagnosed with a pseudoaneurysm of the ascending aorta and underwent surgical repair, followed by six weeks of antibiotic therapy. She was readmitted six months later for an abscess of the lower sternum and mediastinum. After a conservative approach with antibiotics and local drainage failed, recurrence of a large pseudoaneurysm compressing the superior vena cava was documented. A third operation was performed to debride the infected tissue and to place an aortic allograft. There were no postoperative complications.ElsevierRepositório ComumAlmeida, SBico, PAlmeida, ARLaranjeira Santos, ABanazol, NFragata, JRabaçal, C2014-04-20T17:22:36Z20142014-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.26/6232engRev Port Cardiol. 2014 Feb;33(2):113.e1-113.e5.info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-10T05:00:47Zoai:comum.rcaap.pt:10400.26/6232Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:35:29.757816Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Iatrogenic aortic pseudoaneurysm: A forgotten complication Pseudoaneurisma iatrogénico da aorta ascendente: uma complicação esquecida |
title |
Iatrogenic aortic pseudoaneurysm: A forgotten complication |
spellingShingle |
Iatrogenic aortic pseudoaneurysm: A forgotten complication Almeida, S Aneurysm, False Aortic Diseases Aortic Rupture Postoperative Complications Falso Aneurisma Doenças da Aorta Complicações Pós-Operatórias Ruptura Aórtica |
title_short |
Iatrogenic aortic pseudoaneurysm: A forgotten complication |
title_full |
Iatrogenic aortic pseudoaneurysm: A forgotten complication |
title_fullStr |
Iatrogenic aortic pseudoaneurysm: A forgotten complication |
title_full_unstemmed |
Iatrogenic aortic pseudoaneurysm: A forgotten complication |
title_sort |
Iatrogenic aortic pseudoaneurysm: A forgotten complication |
author |
Almeida, S |
author_facet |
Almeida, S Bico, P Almeida, AR Laranjeira Santos, A Banazol, N Fragata, J Rabaçal, C |
author_role |
author |
author2 |
Bico, P Almeida, AR Laranjeira Santos, A Banazol, N Fragata, J Rabaçal, C |
author2_role |
author author author author author author |
dc.contributor.none.fl_str_mv |
Repositório Comum |
dc.contributor.author.fl_str_mv |
Almeida, S Bico, P Almeida, AR Laranjeira Santos, A Banazol, N Fragata, J Rabaçal, C |
dc.subject.por.fl_str_mv |
Aneurysm, False Aortic Diseases Aortic Rupture Postoperative Complications Falso Aneurisma Doenças da Aorta Complicações Pós-Operatórias Ruptura Aórtica |
topic |
Aneurysm, False Aortic Diseases Aortic Rupture Postoperative Complications Falso Aneurisma Doenças da Aorta Complicações Pós-Operatórias Ruptura Aórtica |
description |
Pseudoaneurysms of the ascending aorta are a rare complication of cardiac surgery. However, the poor prognosis associated with this condition if untreated makes early diagnosis and treatment important. We present the case of a 66-year-old woman who had undergone mitral valvuloplasty 12 days previously, who was admitted with a diagnosis of new-onset atrial fibrillation. The transthoracic echocardiogram showed a clot in the right atrium and anticoagulation was initiated, followed by antibiotic therapy. After further investigation, the patient was diagnosed with a pseudoaneurysm of the ascending aorta and underwent surgical repair, followed by six weeks of antibiotic therapy. She was readmitted six months later for an abscess of the lower sternum and mediastinum. After a conservative approach with antibiotics and local drainage failed, recurrence of a large pseudoaneurysm compressing the superior vena cava was documented. A third operation was performed to debride the infected tissue and to place an aortic allograft. There were no postoperative complications. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-04-20T17:22:36Z 2014 2014-01-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.26/6232 |
url |
http://hdl.handle.net/10400.26/6232 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Rev Port Cardiol. 2014 Feb;33(2):113.e1-113.e5. |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Elsevier |
publisher.none.fl_str_mv |
Elsevier |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799134918822854656 |