CASE REPORT article
Front. Cardiovasc. Med.
Sec. General Cardiovascular Medicine
Volume 12 - 2025 | doi: 10.3389/fcvm.2025.1532920
This article is part of the Research TopicCase Reports in General Cardiovascular Medicine: 2024View all 15 articles
Case Report: Ascending Hope, Urgent Endovascular Repair of Aortic Pseudoaneurysm
Provisionally accepted
- 1Department of Cardiology, Hadassah Medical Center, Jerusalem, Israel
- 2Department of Cardiac Surgery, Hadassah Medical Center, Jerusalem, Israel
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We report a case of an ascending aortic pseudoaneurysm that developed as a complication of coronary artery bypass graft surgery and was managed with percutaneous endovascular repair. A 59-year-old male presented nine months after bypass surgery with complaints of dysphagia and shortness of breath. Computed tomography and echocardiography demonstrated a pseudoaneurysm of the ascending aorta. The patient's overall condition put him at a very high perioperative risk, prohibiting surgical intervention. However, the patient deteriorated clinically and suffered cardiac arrest requiring repeated resuscitation efforts. In need of an urgent solution, the heart team recommended the interventional cardiology team perform a percutaneous endovascular repair which resulted in significant hemodynamic improvement. Patients' clinical improvement allowed the surgical team to conduct a sternotomy in order to remove substantial mediastinal blood clots and place a bovine patch on a residual aortic leak. Following recovery, the patient was discharged home and at one-year follow-up is doing well. This case demonstrates the feasibility of percutaneous endovascular treatment in medical emergencies of the ascending aorta, when standard surgical treatment carries unacceptable risk.
Keywords: Ascending aorta, pseudoaneurysm, Endovascular, Invasive cardiology, Heart CABG coronary artery bypass grafting surgery, CTA computed tomography angiography, ROSC return of spontaneous circulation, PEA pulseless electrical activity
Received: 22 Nov 2024; Accepted: 07 Aug 2025.
Copyright: © 2025 Ronen, Planer, Beeri, Korach, Elbaz Greener and Rahamim. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Gabby Elbaz Greener, Department of Cardiology, Hadassah Medical Center, Jerusalem, Israel
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