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Aortic Pseudoaneurysm Following Aortic Valve Replacement Complicated by Sternal Wound Infection
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  • James Keiler,
  • Erik Scott,
  • Timothy George,
  • Gorav Ailawadi
James Keiler
University of Virginia
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Erik Scott
University of Virginia
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Timothy George
University of Virginia
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Gorav Ailawadi
University of Virginia
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Abstract

Pseudoaneurysm of the ascending aorta is a rare complication of cardiac surgery occurring in less than 0.5% of cases. Deep sternal wound infections (DSWI) increase the likelihood of aortic pseudoaneurysm. An ascending aortic pseudoaneurysm has high morbidity and the mortality rate has ranged from 29%-46% in the medical literature. We report a complex patient who underwent an AVR at an outside hospital complicated by DSWI requiring pectoral flap coverage. Months later, he was transferred to our institution with acute swelling of his sternum, diagnosed as massive aortic pseudoaneurysm originating from the cannulation site.