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Iatrogenic aortic pseudoaneurysm: A forgotten complication

dc.contributor.authorAlmeida, S
dc.contributor.authorBico, P
dc.contributor.authorAlmeida, AR
dc.contributor.authorLaranjeira Santos, A
dc.contributor.authorBanazol, N
dc.contributor.authorFragata, J
dc.contributor.authorRabaçal, C
dc.date.accessioned2014-04-20T17:22:36Z
dc.date.available2014-04-20T17:22:36Z
dc.date.issued2014
dc.description.abstractPseudoaneurysms 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.por
dc.identifier.citationRev Port Cardiol. 2014 Feb;33(2):113.e1-113.e5.por
dc.identifier.urihttp://hdl.handle.net/10400.26/6232
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherElsevierpor
dc.subjectAneurysm, Falsepor
dc.subjectAortic Diseasespor
dc.subjectAortic Rupturepor
dc.subjectPostoperative Complicationspor
dc.subjectFalso Aneurismapor
dc.subjectDoenças da Aortapor
dc.subjectComplicações Pós-Operatóriaspor
dc.subjectRuptura Aórticapor
dc.titleIatrogenic aortic pseudoaneurysm: A forgotten complicationpor
dc.title.alternativePseudoaneurisma iatrogénico da aorta ascendente: uma complicação esquecidapor
dc.typejournal article
dspace.entity.typePublication
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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