Ascending aortic pseudoaneurysms are rare and occur infrequently from anastomotic dehiscence of suture lines and cannulation sites from previous aortic surgery. It is managed by open surgical approach but carries a high risk of pseudoaneurysm rupture at the time of sternotomy. We describe a successfully managed case of ascending aortic pesudoaneurysm presenting as a pulsatile mass in the neck. Its orifice was located on the lateral wall of the ascending aorta,which was caused by the cardioplegia cannula inserted during a previous cardiac surgery. We also summarize the anesthetic challenges and complications of such a case.
Keywords
Ascending aorta pseudoaneurysm, cardioplegia needle, deep hypothermia
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