Surgical treatment of a patient with giant false aneurysm of xenopericardial conduit of the ascending aorta

Charchan E.R., Skvortsov A.A.

Department of Surgery of the Aorta and its Branches, B.V. Petrovsky Russian Research Centre of Surgery under the Russian Academy of Medical Sciences, Moscow, Russia

The article deals with a clinical case report concerning successful secondary surgical intervention for a giant pseudoaneurysm of the xenopericardial conduit of the ascending aorta in a patient with type A chronic aortic dissection, with a history previously endured prosthetic repair of the ascending aorta and aortic valve for acute dissection.

The patient underwent was subjected to repeat prosthetic repair of the aortic valve and ascending aorta according to the Cabrol’s technique. The postoperative period was uneventful. The function of the aortic valve prosthesis after surgery was satisfactory. The control multispiral computed tomography showed that reconstruction zone was without deformities, with the ostia of coronary arteries patent. On day 15 postoperatively the patient was discharged from hospital to undergo rehabilitation with recommendations concerning the subsequent stage of surgical treatment.

The conclusion was drawn that despite life-threatening disease and an extensive scope of reconstruction correctly chosen surgical policy makes it possible to adequately carry out the necessary operation with a good outcome.

KEY WORDS: ascending aortic aneurysm, connective tissue dysplasia, type A aortic dissection, xenopericardial conduit, Cabrol operation.

P. 191

« Back