Iatrogenic Aortic Pseudoaneurysm: a Forgotten Complication
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.17/1754 |
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 EsquecidaHSM CCTAneurysm, False/etiologyAortaAortic Diseases/etiologyCardiac Surgical Procedures/adverse effectsIatrogenic DiseaseMitral Valve/surgeryPseudoaneurysms 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.Sociedade Portuguesa de CardiologiaRepositório do Centro Hospitalar Universitário de Lisboa Central, EPEAlmeida, SBico, PAlmeida, ARLaranjeira, ABanazol, NFragata, JRabaçal, C2014-03-28T13:02:44Z20142014-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.17/1754porRev Port Cardiol. 2014;33(2):113.e1-113.e5info: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:RCAAP2023-03-10T09:33:11Zoai:repositorio.chlc.min-saude.pt:10400.17/1754Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:19:10.910242Repositório 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 HSM CCT Aneurysm, False/etiology Aorta Aortic Diseases/etiology Cardiac Surgical Procedures/adverse effects Iatrogenic Disease Mitral Valve/surgery |
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, A Banazol, N Fragata, J Rabaçal, C |
author_role |
author |
author2 |
Bico, P Almeida, AR Laranjeira, A Banazol, N Fragata, J Rabaçal, C |
author2_role |
author author author author author author |
dc.contributor.none.fl_str_mv |
Repositório do Centro Hospitalar Universitário de Lisboa Central, EPE |
dc.contributor.author.fl_str_mv |
Almeida, S Bico, P Almeida, AR Laranjeira, A Banazol, N Fragata, J Rabaçal, C |
dc.subject.por.fl_str_mv |
HSM CCT Aneurysm, False/etiology Aorta Aortic Diseases/etiology Cardiac Surgical Procedures/adverse effects Iatrogenic Disease Mitral Valve/surgery |
topic |
HSM CCT Aneurysm, False/etiology Aorta Aortic Diseases/etiology Cardiac Surgical Procedures/adverse effects Iatrogenic Disease Mitral Valve/surgery |
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 |
2014-03-28T13:02:44Z 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/10400.17/1754 |
url |
http://hdl.handle.net/10400.17/1754 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
Rev Port Cardiol. 2014;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 |
Sociedade Portuguesa de Cardiologia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Cardiologia |
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 |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
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1799131289836584960 |