Original articleAdult cardiacReoperations for Aortic False Aneurysms After Cardiac Surgery
Section snippets
Patient Population
Between January 1995 and October 2009, 43 consecutive patients underwent a reoperation for false aneurysm involving the thoracic aorta from the aortic root to the distal arch. The ethics committee of the St. Antonius Hospital, Nieuwegein, the Netherlands, approved the study and waived the need for patient consent. The mean age of the patients at the time of reoperation was 60 ± 12 years (range, 31 to 80 years), and 33 (77%) were male. The mean interval between the previous procedure and the
Clinical Presentation
The false aneurysm was diagnosed during routine follow-up examination in 23 asymptomatic patients. Symptoms varied according to the location and the size of the false aneurysm (Table 4).
False Aneurysm Site and Cause
Details of the false aneurysm site are reported in Table 5. The cause was unknown in 15 patients. The interval between the prior and the actual operation in this cohort of patients was 12.2 ± 11.1 years. Disease of the aortic wall was present in 26 patients; 7 of them were Marfan, and 17 had previous aortic
Comment
This study was undertaken to evaluate the outcome in a cohort of 43 patients undergoing reoperation for false aortic aneurysm after cardiovascular surgery during a period of 14 years. Hospital mortality was 6.9%, which is relatively low compared with previous reports that showed a mortality rate up to 18% [1, 4, 7, 8, 12]. Most of the literature available contains isolated case reports and small cohorts of patients [13, 14, 15]; more important experiences reported a mortality of 14% ± 7% [1, 4,
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2020, Journal of Vascular and Interventional RadiologyCitation Excerpt :By contrast, open repair was associated with considerable perioperative morbidity and mortality. For example, in 1 series of 43 patients who underwent open repair of AAPs, 39% of cases experienced complications, including early reoperation for excessive bleeding, pneumonia, mediastinitis, and atrioventricular block (8). In another series of 11 patients treated with open repair, 2 died intraoperatively (5).