Vascular ring connector–related pseudoaneurysm of the descending aorta

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Presentation transcript:

Vascular ring connector–related pseudoaneurysm of the descending aorta Jer-Shen Chen, MD, Chun-Yang Huang, MD, Jih-Hsin Huang, MD The Journal of Thoracic and Cardiovascular Surgery Volume 148, Issue 6, Pages 3236-3237 (December 2014) DOI: 10.1016/j.jtcvs.2014.02.019 Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Two vascular ring connectors were connected with a vascular graft. The metallic vascular ring connectors could be tied with the aorta, instead of suturing, to decrease the operation time and eliminate anastomotic bleeding. The Journal of Thoracic and Cardiovascular Surgery 2014 148, 3236-3237DOI: (10.1016/j.jtcvs.2014.02.019) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A and B, Endoscopy revealed a large, pulsatile mass that had bulged into the lower esophagus, causing external compression (arrow). B, Intermittent bleeding was also noted (arrow). Four days after stent graft coverage, the esophageal compression had resolved significantly. C, The mucosal lesion also appeared to have healed. The Journal of Thoracic and Cardiovascular Surgery 2014 148, 3236-3237DOI: (10.1016/j.jtcvs.2014.02.019) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 A, Computed tomography demonstrated distal disruption of the vascular ring connector in the retrocardiac descending aorta with pseudoaneurysm formation (arrow). B and C, The disrupted aorta was well covered by a stent graft. The Journal of Thoracic and Cardiovascular Surgery 2014 148, 3236-3237DOI: (10.1016/j.jtcvs.2014.02.019) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions