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KMID : 0364019970300020213
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Korean Journal of Thoracic and Cardiovascular Surgery
1997 Volume.30 No. 2 p.213 ~ p.218
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Pseudoaneurysm of Thoracic Aorta
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Abstract
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Pseudoaneurysm of the thoracic aorta is potentially fatal. However, reports of such cases are rare even in large series. We report four cases of thoracic aortic pseudoaneurysm who underwent surgical repair. The causes were considered as infection
in two
cases (VSD repair, descending thoracic aortic aneurysm resection) and blunt chest trauma by traffic accident in two patients. The pseudoaneurysms developed on ascending aorta suspected as sites of arterial and cardiolplegic needle insertion in
one
patient. The others were located at descending thoracic aorta immediately below the left subclavian artery. One patient died of sepsis associated with bile peritonitis and others were followed up from 10 to 18 months with specific morbidity. This
study
suggest that the incidence of pseudoaneurysm of the thoracic aorta followed by open heart or aorctic surgery can be repaired succesfuly and careful inspection of associated injury is very important in cases of traumatic thoracic pseudoaneurysm.
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