JACC. Case reports · 2025
Sternal Pseudoaneurysm After Cardiac Surgery.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Hickman Sarah, Fazili Ansab, Parkin Katherine, Yap John, Pitrola Bhavna, Qureshi Mahrukh, Awwad Amir
Аннотация
BACKGROUND: This report reviews a rare case of a presternal pseudoaneurysm after cardiac surgery.
CASE SUMMARY: An 80-year-old male patient presented with a large lump over the manubrium at the upper end of his sternal wound. Two months previously, the patient electively received a tissue aortic valve replacement, and ascending aorta repair for an incidental 6-cm ascending aorta aneurysm and aortic regurgitation. Ultrasound examination revealed a pulsatile Doppler flow (swirling yin/yang) in a 2- × 6-cm lump, confirming the presence of a pseudoaneurysm. On arterial computed tomography imaging, the presternal pseudoaneurysm was found to be arising from a branch of the right internal mammary artery. The patient underwent urgent open repair, with the cause found to be rubbing of a residual sternal wire on the right internal mammary artery.
DISCUSSION: The case highlights the key imaging findings of sternal pseudoaneurysms after cardiac surgery and also provides a literature review of surgical and endovascular management.
CASE SUMMARY: An 80-year-old male patient presented with a large lump over the manubrium at the upper end of his sternal wound. Two months previously, the patient electively received a tissue aortic valve replacement, and ascending aorta repair for an incidental 6-cm ascending aorta aneurysm and aortic regurgitation. Ultrasound examination revealed a pulsatile Doppler flow (swirling yin/yang) in a 2- × 6-cm lump, confirming the presence of a pseudoaneurysm. On arterial computed tomography imaging, the presternal pseudoaneurysm was found to be arising from a branch of the right internal mammary artery. The patient underwent urgent open repair, with the cause found to be rubbing of a residual sternal wire on the right internal mammary artery.
DISCUSSION: The case highlights the key imaging findings of sternal pseudoaneurysms after cardiac surgery and also provides a literature review of surgical and endovascular management.