Abstract
We report a case of 57-year-old man treated emergently with CT-guided local thrombin injection as the first, life-saving step for control rapid expansion of the aortic pseudoaneurysm. Fifteen months earlier, he was operated on for ascending aortic true aneurysm and coronary artery disease. Upon admission, he had an anterior thoracic wall pulsatile tumor. Due to critical status, definite surgery was postponed and thrombin was injected close to the origin of pseudoaneurysm. It controlled successfully, bleeding from the ascending aorta and enabled the patient to survive the acute phase.
MeSH terms
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Anastomosis, Surgical
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Aneurysm, False / diagnosis
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Aneurysm, False / drug therapy*
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Aneurysm, False / surgery
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Angiography, Digital Subtraction
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Aortic Aneurysm, Thoracic / diagnosis
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Aortic Aneurysm, Thoracic / drug therapy*
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Aortic Aneurysm, Thoracic / surgery*
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Aortic Valve / surgery
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Aortography
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Blood Vessel Prosthesis Implantation
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Coronary Artery Bypass
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Echocardiography, Doppler
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Heart Valve Prosthesis Implantation
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Humans
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Injections
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Male
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Middle Aged
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Postoperative Complications / diagnosis
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Postoperative Complications / drug therapy*
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Postoperative Complications / surgery
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Radiography, Interventional / methods*
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Reoperation
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Sternotomy*
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Thrombin / administration & dosage*
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Tomography, X-Ray Computed / methods*
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Veins / transplantation