Kalp Cerrahi Sonrası Asendan Aortanın Yalancı Anevrizmasında Cerrahi Stratejiler

Özet : Kalp cerrahisi sonrası asendan aortanın pseudoanevrizması nadir ama mortatile ve morbidite yönünden önemli derecede riske sahip bir komplikasyondur. Burada 2005- 2009 yılları arasında kalp cerrahisi sonrası asendan aortada gelişen 2 pseudoanevrizma olgusunun kliniği ve cerrahi stratejileri literatürlerin incelenmesi ile sunulmuştur.Anahtar Kelimeler:

Anahtar Kelimeler:

Yalancı Anevrizma, Aorta, Açık Kalp Cerrahisi

Surgical Strategy for Pseudoaneurysm of the Ascending Aorta After Cardiac Surgery

Abstract: Pseudoaneurysm of ascending aorta after cardiac surgery is a rare but a life-threatening complication of associated with a substantial morbidity and mortality. In this report, between 2005-2009 years, we present clinical of two patients with pseudoaneurysm of the ascending aorta after cardiac surgery and surgical strategies with the review of the literatures.

Keywords:

Key Words: Pseudoaneurysm, Aorta, Open Heart Surgery,

PDF

___

Razzouk A, Gundry S, Wang N, Heyner R, Sciolaro C, Van Arsdell G et al. Pseudoaneurysms of the aorta after cardiac surgery or chest trauma. Am Surg. 1993; 59:818-23.
Sabri MN, Henry D, Wechsler AS, DiSciascio G, Vetrovec GW. Late complications involving the ascending aorta after cardiac surgery: recognition and management . Am Heart J. 1991; 121:1779-83.
Sullivan KL, Steiner RM, Smullens SN, Griska L, Meister SG. Pseudoaneurysm of the ascending aorta following cardiac surgery. Chest. 1998; 93:38-43.
Mohammadi S, Bonnet N, Leprince P, Kolsi M, Rama A, Pavie A et al. Reoperation for false aneurysm of the ascending aorta after Its prosthetic replacement : Surgical Strategy. Ann Thorac Surg. 2005; 79:147
Kawachi Y, Nakashima A, Onzuka T, Tamauchi T. False aneurysm of the ascending aorta concomitant with chronic mediastinitis after tube graft replacement in octogenarian. Eur J Cardiothorac Surg. 2002; 22:450-3.
Miyata T, Sato O, Deguchi J, Kimura H, Namba T, Kondo K et al . Anastomotic aneurysm after surgical treatment of Takayashu’s arteritis: a 40 year experience. J. Vasc Surg. 1998; 27:438-45.
Nonaka K, Kondo K, Hamada C. Multiple pseudoaneurysms of the aortic arc, right subclavian artery and abdominal aorta in a patient with Behcet’s disease. J Vasc Surg. 1998; 28:723-6.
Gott VL, Gillinov M, Pyeritz RE, Cameron DE, Reitz BA, Greene PS, et al. Aortic root replacement. Risk analysis of a seveteen - year experience with 270 patients. J Thorac Cardiovasc Surg. 1995; 109:536
Katsumata T, Moorjani N, Vaccari G, Webstaby S. Mediastinal false aneurysm after thoracic aortic surgery. Ann Thorac Surg. 2000; 70:547-52.
Lillehei CW, Todd DB, Levy MJ, Ellis RJ. Partial cardipulmonary bypass, hypothermia, and total circulatory arrest: a lifesaving technique for ruptured mycotic aortic aneurysm, ruptured left ventricle, and other complicated cardiac pathology. J Thorac Cardiovasc Surg 1969; 58:530-44.
Coselli JS, Crawford ES, Williams TW Jr, Bradshaw MW, Wiever DR, Harris RL, et al. Treatment of postoperative infection of ascending aorta and transverse aortic arc, including use of viable omentum and muscle flaps. Ann Thorac Surg. 1990; 50:868-81.
Katsumata T, Westaby S. Homograft aortic replacement for infected mediastinal false aneurysm . Ann Thorac Surg. 1997;64:1464-6.