Ahmet AKGÜL, Seyhan BABAROĞLU, Adnan ÖOBANOĞLU, İlknur BAHAR

Aortic pseudoaneurysm formation following multiple valve replacement

Asendan aort sütür hattından kaynaklanan psödoanevrizma oluşumu çok nadir gözlenen fakat hayatı tehdit eden bir komplikasyondur. Tekrar aort kapak replasmanı sonrası yapılan multipl aort insizyonları sonrası her hasta düzenli olarak ekokardiyografik takip altına alınmalı ve psödoanevrizma tanısı konulunca tekrar ameliyat kararı geciktirilmeden verilmelidir. Tedavi olarak supravalvüler aortik interpozisyonu düşünülebilir çünkü uzun dönem sonuçları diğer cerrahi tekniklere göre daha iyidir. Bu olgu sunumunda tekrar aort kapak replasmanı sonrası asendan aortta gelişen büyük bir psödoanevrizma ve tedavisi sunuldu.

Multipl kapak replasmanı sonrası gelişen aortik psödoanevrizma

Pseudoaneurysm formation at the ascending aortic suture line is a rare but life-threatening complication. After reincisions of the ascending aorta as in re-aortic valve replacement, the patient should undergo regular echocardiographic studies and re-reoperation should quickly follow a diagnosis of pseudoaneurysm formation. Interposition of supravalvular aortic graft may be the surgical treatment of choice because its long term results are better when compared with those of other surgical techniques. We present a case with a giant pseudoaneurysm following re-aortic valve replacement and its treatment.

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