Transfemoral control of ruptured aortic pseudoaneurysm at aortic root reoperation.

Pettersson, Gosta; Nores, Marcos; Gillinov, A Marc · Ann Thorac Surg · 2004

case_report · Level V

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Abstract

Median sternotomy in the setting of aortic pseudoaneurysm and/or rupture is hazardous, requiring technical modifications to prevent exsanguination. Free aortic disruption, particularly when accompanied by aortic regurgitation, presents a particularly challenging situation. The critical issue is to protect the brain and heart while obtaining control of the aorta. We report management of such a case using transfemoral balloon aortic occlusion.

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