Journal
INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY
Volume 14, Issue 4, Pages 494-496Publisher
OXFORD UNIV PRESS
DOI: 10.1093/icvts/ivr134
Keywords
Ascending aorta; Endovascular; Aneurysm
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Mycotic ascending aortic pseudoaneurysm (AAP) is an uncommon but surgically challenging problem with high morbidity and mortality rates. We describe endovascular repair of an acute mycotic AAP in a high-risk patient. A 45-year old man, HIV serum positive, chronic hepatitis HBV and HCV related, presented, after two sternotomies, with a fast growing 11 x 6 cm AAP that was sealed with two Gore Exluder aortic cuffs, inserted from the left axillary artery. Nine months control CT continued to show no endoleak with shrinking of the AAP.
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