{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T10:08:52Z","timestamp":1764670132029,"version":"3.46.0"},"reference-count":3,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T00:00:00Z","timestamp":1763424000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pseudoaneurysms of the ascending aorta are a rare but life-threatening complication of cardiac surgery, often occurring years after the initial procedure. They may remain asymptomatic or present acutely with rupture, leading to cardiac tamponade or sudden death.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case summary<\/jats:title>\n                    <jats:p>An 84-year-old female, with a history of biological aortic valve replacement 15 years prior, presented with acute chest pain radiating to the back. She was hypotensive and exhibited signs of shock. Transthoracic echocardiography revealed a large, heterogeneous pericardial effusion with right heart chamber collapse. Contrast-enhanced computed tomography showed a large pseudoaneurysm originating at the previous aortotomy site, extending inferiorly and compressing the right atrium. Given the clinical status, urgent surgery was performed, under femoro-femoral cardiopulmonary bypass initiated before re-sternotomy. A large haematoma surrounding the heart and major vessels required meticulous dissection, and a 2\u2005cm rupture at the previous aortotomy site was successfully repaired using a supracoronary graft. The patient had an uneventful recovery and was discharged on the ninth day post-op.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Late-onset aortic pseudoaneurysm is a rare but life-threatening complication of cardiac surgery. High clinical suspicion, timely imaging, and prompt surgical intervention are essential to prevent fatal outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaf588","type":"journal-article","created":{"date-parts":[[2025,11,16]],"date-time":"2025-11-16T12:54:56Z","timestamp":1763297696000},"source":"Crossref","is-referenced-by-count":0,"title":["Acute presentation of aortic pseudoaneurysm as a late complication of previous cardiac surgery: a case report"],"prefix":"10.1093","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-2722-3327","authenticated-orcid":false,"given":"D\u00e9bora","family":"S\u00e1","sequence":"first","affiliation":[{"name":"Cardiology Department, Hospital Central do Funchal , Avenida Lu\u00eds de Cam\u00f5es no 57, Funchal, Madeira 9004-514 ,","place":["Portugal"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Resende","sequence":"additional","affiliation":[{"name":"Cardiac Surgery Department, Hospital de Santa Cruz, Unidade Local de Sa\u00fade Lisboa Ocidental , Av. Prof. Dr. Reinaldo dos Santos, Carnaxide, Lisboa 2790-134 ,","place":["Portugal"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-9672-9928","authenticated-orcid":false,"given":"Rita","family":"Almeida Carvalho","sequence":"additional","affiliation":[{"name":"Cardiology Department, Hospital de Santa Cruz, Unidade Local de Sa\u00fade Lisboa Ocidental , Av. Prof. Dr. Reinaldo dos Santos, Carnaxide, Lisboa 2790-134 ,","place":["Portugal"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catarina","family":"Br\u00edzido","sequence":"additional","affiliation":[{"name":"Cardiac Intensive Care Unit, Hospital de Santa Cruz, Unidade Local de Sa\u00fade Lisboa Ocidental , Av. Prof. Dr. Reinaldo dos Santos, Carnaxide, Lisboa 2790-134 ,","place":["Portugal"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e1rcio","family":"Madeira","sequence":"additional","affiliation":[{"name":"Cardiac Surgery Department, Hospital de Santa Cruz, Unidade Local de Sa\u00fade Lisboa Ocidental , Av. Prof. Dr. Reinaldo dos Santos, Carnaxide, Lisboa 2790-134 ,","place":["Portugal"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,11,18]]},"reference":[{"key":"2025120205061785400_ytaf588-B1","first-page":"274","article-title":"Analysis of postsurgical aortic false aneurysm in 27 patients","volume":"40","author":"Malvindi","year":"2013","journal-title":"Tex Heart Inst J"},{"key":"2025120205061785400_ytaf588-B2","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.athoracsur.2004.01.028","article-title":"Repair of aortic false aneurysm using deep hypothermia and circulatory arrest","volume":"78","author":"Dumont","year":"2004","journal-title":"Ann Thorac Surg"},{"key":"2025120205061785400_ytaf588-B3","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1016\/j.repc.2019.09.022","article-title":"Repair of a gigantic ascending aortic pseudoaneurysm\u2014a challenging approach","volume":"42","author":"Ranchord\u00e1s","year":"2023","journal-title":"Rev Port Cardiol"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcr\/advance-article-pdf\/doi\/10.1093\/ehjcr\/ytaf588\/65367006\/ytaf588.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/9\/12\/ytaf588\/65367006\/ytaf588.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/9\/12\/ytaf588\/65367006\/ytaf588.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T10:06:23Z","timestamp":1764669983000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytaf588\/8326432"}},"subtitle":[],"editor":[{"given":"Edoardo","family":"Zancanaro","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Michael Z L","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Jamol","family":"Uzokov","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Sheetal Vasundara","family":"Mathai","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2025,11,18]]},"references-count":3,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,11,27]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytaf588","relation":{},"ISSN":["2514-2119"],"issn-type":[{"type":"electronic","value":"2514-2119"}],"subject":[],"published-other":{"date-parts":[[2025,12]]},"published":{"date-parts":[[2025,11,18]]},"article-number":"ytaf588"}}