Characteristics and outcomes of patients with postoperative cardiovascular pseudoaneurysms

摘要: Abstract Background Data regarding long-term outcomes in cardiovascular pseudoaneurysms are sparse. In patients with prior surgery, we sought to assess characteristics and (excluding ischemic left ventricular pseudoaneurysms). Methods We included 114 (mean age, 57 ± 16 years; 70% were men) surgery who presented paravalvular (n = 71, 59 aortic 12 mitral valve) ascending (n = 43) (27% systemic infection). Baseline, surgical, follow-up data recorded. A composite end point of stroke or death during was Results Additive European System for Cardiac Operative Risk Evaluation high (10%), 81% underwent another redo surgery. Over a mean period 5.2 ± 4 years, there 37 (32%) events (32 deaths 5 strokes). Within the surgical subgroup, 10 (11%) in-hospital stay. The 1-, 2-, 5-, 10-year freedom from 86%, 82%, 74%, 55%, respectively. (hazard ratio, 1.14) presence documented infection 3.90) associated higher rate events, whereas subsequent as time-dependent covariate hazard ratio 0.30) improved (all P Conclusions Patients history whom subsequently develop have short- adverse events. additive (to correct pseudoaneurysms)