Aortic pseudoaneurysm repair after Bentall procedure using the IntraClude device

Area of Science:

• Cardiovascular Surgery
• Medical Devices
• Aortic Aneurysm

Background:

• Aortic reoperation presents significant mortality risks, primarily from potential cardiac or vascular injury during resternotomy.
• Minimizing risks during reoperative cardiac surgery remains a critical challenge.

Observation:

• A 76-year-old male patient developed a giant aortic pseudoaneurysm 17 years post-Bentall procedure.
• This case highlights a rare complication following complex aortic surgery.

Findings:

• Successful resection of the giant aortic pseudoaneurysm was achieved.
• The ThruPort IntraClude intra-aortic occlusion device (Edwards Lifesciences) facilitated endovascular clamping of the ascending aorta.

Implications:

• The IntraClude catheter offers an effective endovascular approach for aortic clamping in complex cardiac reoperations.
• This technique may improve safety and outcomes in challenging aortic surgeries.