Iatrogenic ascending aortic pseudoaneurysm: A scarcy bomb after coronary artery bypass surgery

Abstract

Aortic pseudoaneurysm is rare but life-threatening complication occurring several months or years after aortic surgery. Although cardiac surgery is the most common cause, it may rarely develop after trauma and infection. Clinical presentation can vary from asymptomatic to catastrophic outcomes. The diameter and size of the aortic pseudoaneurysm may increase over the years, which could consequently increase the risk of sudden rupture and hemorrhage. We present a case of an ascending aortic pseudoaneurysm developed 13 months after coronary artery bypass grafting that were successfully managed by surgical repair. It is essential to diagnose the aneurysm in a timely manner during the perioperative and postoperative periods because rupture of the aneurysm could be catastrophic.