Interv Akut Kardiol. 2024;23(2-3):90-95 | DOI: 10.36290/kar.2024.012

Chirurgická léčba pseudoaneuryzmatu hrudní aorty: systematický přehled literatury

Sandra Rečičárová1, 2, Kateřina Lawrie3, 4, Michael Jonák1, Ivan Netuka1
1 Department of Cardiovascular Surgery, Institute for Clinical and Experimental Medicine (IKEM), Prague, Czech Republic
2 First Faculty of Medicine, Charles University, Prague, Czech Republic
3 Department of Transplantation Surgery, Institute for Clinical and Experimental Medicine (IKEM), Prague, Czech Republic
4 Third Faculty of Medicine, Charles University, Prague, Czech Republic

Introduction: Thoracic aortic false aneurysm is a rare complication of cardiac surgery or procedures on the thoracic aorta. We present the results of a systematic review of the literature. Our aim was to determine the best treatment options and surgical techniques.

Methods: We performed a literature search regarding thoracic aortic pseudoaneurysm and its surgical treatment in English, limited by the dates 1st January 1979 to 31st December 2022. We searched the PubMed and EMBASE databases for the following medical terms: thoracic aortic false aneurysm, pseudoaneurysm, and surgical treatment. 



Results: Our search screened 4,046 articles. Only nine articles were eligible. The other articles were single case reports or small series of case reports with fewer than nine patients. All the studies were retrospective. Ninety percent of the cases underwent prior aortic or cardiac surgery. The surgical treatment strategies were chosen according to the location of the pseudoaneurysm and were overall inconclusive. 



Conclusion: According to the current literature, there are no clear guidelines or recommendations; therefore, the operation should be tailored to each patient individually. Regular checkups involving imaging techniques after cardiac surgeries are recommended. Despite significant advancements in endovascular treatment, it is often not suitable, making open surgery the treatment of choice.  

Keywords: thoracic aortic false aneurysm, aortic pseudoaneurysm, a systematic review.

Received: March 2, 2024; Revised: March 2, 2024; Accepted: June 26, 2024; Published: December 12, 2024  Show citation

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Rečičárová S, Lawrie K, Jonák M, Netuka I. Chirurgická léčba pseudoaneuryzmatu hrudní aorty: systematický přehled literatury. Interv Akut Kardiol. 2024;23(2-3):90-95. doi: 10.36290/kar.2024.012.
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