Contained rupture of a pseudoaneurysm of the descending thoracic aorta related to remnant outflow graft of left ventricular assist device after heart transplantation

Kentaro Yamane; Linda J. Bogar; Paul J. Dimuzio; Scott W. Cowan; Hitoshi Hirose; Nathaniel R. Evans; Atul S. Rao; Joshua A. Eisenberg; Nicholas C. Cavarocchi

doi:10.1016/j.athoracsur.2012.02.023

Contained rupture of a pseudoaneurysm of the descending thoracic aorta related to remnant outflow graft of left ventricular assist device after heart transplantation

Kentaro Yamane, Linda J. Bogar, Paul J. Dimuzio, Scott W. Cowan, Hitoshi Hirose, Nathaniel R. Evans, Atul S. Rao, Joshua A. Eisenberg, Nicholas C. Cavarocchi

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2 Scopus citations

Abstract

The Jarvik 2000 left ventricular assist device is inserted via a left thoracotomy with the outflow graft anastomosed to the descending thoracic aorta. Removal of the device during heart transplantation involves division of the outflow graft, resulting in a retained remnant. We describe the first reported case of a mycotic pseudoaneurysm of the descending thoracic aorta related to the remnant of a left ventricular assist device outflow graft in an immunosuppressed heart recipient complicated with systemic Pseudomonas infection. The pseudoaneurysm was temporarily treated with endovascular stent grafting followed by delayed thoracotomy, pseudoaneurysm excision, and placement of an aortic interposition graft using an aortic allograft.

Original language	English (US)
Pages (from-to)	1345-1348
Number of pages	4
Journal	Annals of Thoracic Surgery
Volume	94
Issue number	4
DOIs	https://doi.org/10.1016/j.athoracsur.2012.02.023
State	Published - Oct 2012

All Science Journal Classification (ASJC) codes

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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10.1016/j.athoracsur.2012.02.023

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Yamane, K., Bogar, L. J., Dimuzio, P. J., Cowan, S. W., Hirose, H., Evans, N. R., Rao, A. S., Eisenberg, J. A., & Cavarocchi, N. C. (2012). Contained rupture of a pseudoaneurysm of the descending thoracic aorta related to remnant outflow graft of left ventricular assist device after heart transplantation. Annals of Thoracic Surgery, 94(4), 1345-1348. https://doi.org/10.1016/j.athoracsur.2012.02.023

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title = "Contained rupture of a pseudoaneurysm of the descending thoracic aorta related to remnant outflow graft of left ventricular assist device after heart transplantation",

abstract = "The Jarvik 2000 left ventricular assist device is inserted via a left thoracotomy with the outflow graft anastomosed to the descending thoracic aorta. Removal of the device during heart transplantation involves division of the outflow graft, resulting in a retained remnant. We describe the first reported case of a mycotic pseudoaneurysm of the descending thoracic aorta related to the remnant of a left ventricular assist device outflow graft in an immunosuppressed heart recipient complicated with systemic Pseudomonas infection. The pseudoaneurysm was temporarily treated with endovascular stent grafting followed by delayed thoracotomy, pseudoaneurysm excision, and placement of an aortic interposition graft using an aortic allograft.",

author = "Kentaro Yamane and Bogar, {Linda J.} and Dimuzio, {Paul J.} and Cowan, {Scott W.} and Hitoshi Hirose and Evans, {Nathaniel R.} and Rao, {Atul S.} and Eisenberg, {Joshua A.} and Cavarocchi, {Nicholas C.}",

year = "2012",

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doi = "10.1016/j.athoracsur.2012.02.023",

language = "English (US)",

volume = "94",

pages = "1345--1348",

journal = "Annals of Thoracic Surgery",

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Yamane, K, Bogar, LJ, Dimuzio, PJ, Cowan, SW, Hirose, H, Evans, NR, Rao, AS, Eisenberg, JA & Cavarocchi, NC 2012, 'Contained rupture of a pseudoaneurysm of the descending thoracic aorta related to remnant outflow graft of left ventricular assist device after heart transplantation', Annals of Thoracic Surgery, vol. 94, no. 4, pp. 1345-1348. https://doi.org/10.1016/j.athoracsur.2012.02.023

TY - JOUR

T1 - Contained rupture of a pseudoaneurysm of the descending thoracic aorta related to remnant outflow graft of left ventricular assist device after heart transplantation

AU - Yamane, Kentaro

AU - Bogar, Linda J.

AU - Dimuzio, Paul J.

AU - Cowan, Scott W.

AU - Hirose, Hitoshi

AU - Evans, Nathaniel R.

AU - Rao, Atul S.

AU - Eisenberg, Joshua A.

AU - Cavarocchi, Nicholas C.

PY - 2012/10

Y1 - 2012/10

N2 - The Jarvik 2000 left ventricular assist device is inserted via a left thoracotomy with the outflow graft anastomosed to the descending thoracic aorta. Removal of the device during heart transplantation involves division of the outflow graft, resulting in a retained remnant. We describe the first reported case of a mycotic pseudoaneurysm of the descending thoracic aorta related to the remnant of a left ventricular assist device outflow graft in an immunosuppressed heart recipient complicated with systemic Pseudomonas infection. The pseudoaneurysm was temporarily treated with endovascular stent grafting followed by delayed thoracotomy, pseudoaneurysm excision, and placement of an aortic interposition graft using an aortic allograft.

AB - The Jarvik 2000 left ventricular assist device is inserted via a left thoracotomy with the outflow graft anastomosed to the descending thoracic aorta. Removal of the device during heart transplantation involves division of the outflow graft, resulting in a retained remnant. We describe the first reported case of a mycotic pseudoaneurysm of the descending thoracic aorta related to the remnant of a left ventricular assist device outflow graft in an immunosuppressed heart recipient complicated with systemic Pseudomonas infection. The pseudoaneurysm was temporarily treated with endovascular stent grafting followed by delayed thoracotomy, pseudoaneurysm excision, and placement of an aortic interposition graft using an aortic allograft.

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AN - SCOPUS:84866651164

SN - 0003-4975

VL - 94

SP - 1345

EP - 1348

JO - Annals of Thoracic Surgery

JF - Annals of Thoracic Surgery

IS - 4

ER -

Contained rupture of a pseudoaneurysm of the descending thoracic aorta related to remnant outflow graft of left ventricular assist device after heart transplantation

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