Corresponding Author:
Hiroo Takayama, MD, PhD
Division of Cardiac, Thoracic, and Vascular Surgery
Columbia University Medical Center
177 Fort Washington Ave
New York, NY 10019
Email:ht2225@cumc.columbia.edu
Abstract: For ascending aortic pseudoaneurysms with a large
aortic entry site and thrombus burden, temporary stent-graft placement
at induction of circulatory arrest can prevent thrombotic complication.
Ascending aortic pseudoaneurysm (PSA) is a rare, yet highly morbid
complication of cardiac surgery, predisposing to aortic rupture,
thrombosis, or distal embolization.[1,2] Due to high rates of
morbidity and mortality for surgical PSA repair, transcatheter
approaches have also been proposed for select patients with a narrow PSA
‘neck’ and sufficient landing zone.1-4 In this report, we describe
successful application of a hybrid technique employing a thoracic
endovascular aortic repair (TEVAR) to prevent embolic complications due
to PSA thrombus migration during surgical PSA repair.