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Papers of the Week

2022 Apr 27

J Cardiothorac Surg



Pseudoaneurysm with a fistula to the right ventricle late after surgical repair of type A aortic dissection in a patient with systemic lupus erythematosus.


Shimada A, Yamamoto T, Endo D, Nishida K, Matsushita S, Asai T, Amano A
J Cardiothorac Surg. 2022 Apr 27; 17(1):83.
PMID: 35477534.


Pseudoaneurysm with a shunt to the right ventricle after aortic repair for acute aortic dissection is an extremely rare and life-threatening condition. Surgical treatment is unavoidable, but surgery is complicated, and there are some pitfalls. This study describes the reoperation performed in a patient at a high surgical risk by clarifying the shunt site using multimodality imaging before surgery.