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Transapical Coil Embolization of a Postsurgical Ascending Thoracic Aortic Pseudoaneurysm

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Abstract

Ascending aortic pseudoaneurysms are a rare but potentially life-threatening complication of aortic root or cardiac surgery. Surgical repair is established as first-line treatment; however, patient comorbidities, technical considerations, and anatomic limitations often preclude patients from repeat surgery, thus necessitating alternative approaches. Here, we present a case of coil embolization of an ascending aortic pseudoaneurysm via a transapical approach in a particularly complex scenario where percutaneous and peripheral access was technically unfeasible.

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References

  1. Sullivan KL, Steiner RM, Smullens SN, Griska L, Meister SG. Pseudoaneurysm of the ascending aorta following cardiac surgery. Chest. 1988;93(1):138–43.

    Article  CAS  PubMed  Google Scholar 

  2. Katsumata T, Moorjani N, Vaccari G, Westaby S. Mediastinal false aneurysm after thoracic aortic surgery. Ann Thorac Surg. 2000;70(2):547–52.

    Article  CAS  PubMed  Google Scholar 

  3. Mesana TG, Caus T, Gaubert J-Y, Collart F, Ayari R, Bartoli J-M, et al. Late complications after prosthetic replacement of the ascending aorta: what did we learn from routine magnetic resonance imaging follow-up? Eur J Cardiothorac Surg. 2000;18(3):313–20.

    Article  CAS  PubMed  Google Scholar 

  4. Atik FA, Navia JL, Svensson LG, Vega PR, Feng J, Brizzio ME, et al. Surgical treatment of pseudoaneurysm of the thoracic aorta. J Thorac Cardiovasc Surg. 2006;132(2):379–385.e1.

    Article  PubMed  Google Scholar 

  5. Quevedo HC, Alonso A. Endovascular therapy for ascending aorta pseudoaneurysm. Cardiovasc Revasc Med. 2016;17(8):586–8.

    Article  PubMed  Google Scholar 

  6. Quevedo HC, Santiago-Trinidad R, Castellanos J, Atianzar K, Anwar A, Rafeh NA. Systematic review of interventions to repair ascending aortic pseudoaneurysms. Ochsner J. 2014;14(4):576–85.

    PubMed  PubMed Central  Google Scholar 

  7. Preventza O, Henry MJ, Cheong BYC, Coselli JS. Endovascular repair of the ascending aorta: when and how to implement the current technology. Ann Thorac Surg. 2014;97(5):1555–60.

    Article  PubMed  Google Scholar 

  8. Lin PH, Bush RL, Tong FC, Chaikof E, Martin LG, Lumsden AB. Intra-arterial thrombin injection of an ascending aortic pseudoaneurysm complicated by transient ischemic attack and rescued with systemic abciximab. J Vasc Surg. 2001;34(5):939–42.

    Article  CAS  PubMed  Google Scholar 

  9. Chapot R, Aymard A, Saint-Maurice J-P, Bel A, Merland J-J, Houdart E. Coil embolization of an aortic arch false aneurysm. J Endovasc Ther. 2002;9(6):922–5.

    PubMed  Google Scholar 

  10. Miguel B, Camilleri L, Gabrillargues J, Macheda B, Kubota H, Ravel A, et al. Coil embolization of a false aneurysm with aorto-cutaneous fistula after prosthetic graft replacement of the ascending aorta. Eur J Radiol. 2000;34(1):57–9.

    Article  CAS  PubMed  Google Scholar 

  11. Barbetakis N, Xenikakis T, Efstathiou A, Fessatidis I. Percutaneous coil embolisation of a false aortic aneurysm following coronary surgery and mediastinitis. Hell J Cardiol. 2007;48(4):246–8.

    Google Scholar 

  12. Arain N, Bryant R, Ameduri R, Gruenstein D, Braunlin E, Joyce L, et al. Successful coil embolization of a large ascending aortic pseudoaneurysm following explantation of the EXCOR pediatric ventricular assist device in a patient with acute fulminant myocarditis. World J Pediatr Congenit Heart Surg. 2010;1(2):259–61.

    Article  PubMed  Google Scholar 

  13. Lu T, Owji S, Chinnadurai P, Loh TM, Schwein A, Lumsden AB, et al. Robotic-assisted coil embolization of ascending aortic pseudoaneurysm. Ann Thorac Surg. 2016;102(5):e451–3.

    Article  PubMed  Google Scholar 

  14. Hibino M, Katada Y, Shibayama K, Obunai K, Watanabe H, Kawano Y, et al. Recurrent aortic root pseudoaneurysm after transcatheter occlusion—a word of caution. J Card Surg. 2018;33(4):190–3.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, Vancouver General Hospital, University of British Columbia, Vancouver, BC, Canada

    Dennis Parhar, Darren Klass, Gerald Legiehn & John Chung

  2. Department of Cardiovascular Surgery, Vancouver General Hospital, University of British Columbia, Vancouver, BC, Canada

    Anson Cheung & Michael Janusz

Authors
  1. Dennis Parhar
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  2. Darren Klass
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  3. Gerald Legiehn
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  4. John Chung
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  5. Anson Cheung
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  6. Michael Janusz
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Correspondence to Dennis Parhar.

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Conflict of interest

Dennis Parhar, Gerald Legiehn, John Chung, Anson Cheung, and Michael Janusz declare that they have no conflict of interest. Darren Klass is a consultant for Cook Medical and consultant for Merit Medical, and has a research grant with Biolife (StatSeal).

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Parhar, D., Klass, D., Legiehn, G. et al. Transapical Coil Embolization of a Postsurgical Ascending Thoracic Aortic Pseudoaneurysm. Cardiovasc Intervent Radiol 42, 1500–1504 (2019). https://doi.org/10.1007/s00270-019-02291-w

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  • DOI: https://doi.org/10.1007/s00270-019-02291-w

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