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Mycotic Pseudoaneurysm of the Ascending Aorta at Site of Aortic Cannulation

Department of Cardiovascular Surgery
¹ Department of Radiology
² Department of Anesthesiology and Intensive Care, Charité Hospital, Medical University Berlin, Berlin, Germany

For reprint information contact: Davide Gabbieri, MD, Tel: 49 30 450622038, Fax: 49 30 450522921, Email: dgabbieri{at}yahoo.it, Department of Cardiovascular Surgery, Charité Hospital, Medical University Berlin, Charitéplatz 1, D-10117 Berlin, Germany.

Reoperation for pseudoaneurysm of the ascending aorta presents a surgical challenge. Instituting femorofemoral bypass and establishing hypothermic circulatory arrest is a well-known strategy, although not free from complications. We report a case of mycotic pseudoaneurysm after coronary artery bypass in a 53-year-old man, at the site of previous aortic cannulation, and review the surgical strategies proposed to manage this pathologic entity.