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KMID : 0364019960290050564
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Korean Journal of Thoracic and Cardiovascular Surgery
1996 Volume.29 No. 5 p.564 ~ p.568
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surgical Treatment of the Pseudoaneurysm of the Asscending Aorta Following the Repair of Congential VSD 1 cases report-
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Abstract
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Pseudoaneurysm of the ascending aorta following cardiac surgery is very uusual and it is potentially fatal. We report here a fourteen year-old female patient with pseudoaneurysm of the ascending aorta following a repair of a congenital
ventricular
septal defect at other hospital 50 months ago. Although she had a mild superficial wound infection postoperatively, she enjoyed uneventful life until she visited our hospital for a generalized weakness and exertional dyspnea which developed a
month
ago.
Chest CT and echocardiogram showed partially calcified pseudoaneurysm of the ascending aorta. Two aortic defects were located on the anterolateral ascending aortic wall wkere it was suspected as a previous sites of aortic and cardioplegic
cannulation.
The internal wall of the pseudoaneurysm was covered with neoendothelium and intervened by septal tissue. Two defects on the aortic wall were oval in shape and about 1.5cm in the greatest diameter. The defects were trimmed to make a one large
defect
and
it was reconstructed with patch designed from 22mm collagen impregnated double velour Dacron graft. The postoperative course was uneventful.
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