Anterior Mediastinal Pseudoaneurysm

Author: Edward Verrier, MD
Institution: University of Washington
Date Reviewed: February 2014
Learning Domain: Adult Cardiac Surgery
Learning Objective: Pregnancy and Mechanical Aortic Valves; Thrombosed Aortic Valve Prosthesis
PowerPoint File: Anterior Mediastinal Pseudoaneurysm

Discussion Points for Conference

• Natural History of Williams Syndrome
• Surgical approaches to supra-valvular stenosis
• Degeneration of Bioprosthetic roots
• Sternal Reentry
• Management of CPD
• Reconstruction approaches
  • AVR / Ascending Aorta
  • Bentall
  • Arch
  • Right Pulmonary Artery

Learning Points

• Supra-valvular stenosis often difficult to treat
• ? Collagen disease present
• Team Approaches to multiple reoperations
  • Communication essential
• Management of Sternal Reentry / CPB essential in this case
• Long term fate  of “Porcine roots” remain unclear