Heart 91:e29 doi:10.1136/hrt.2004.053355
  • Electronic pages

Superior vena cava syndrome caused by a pseudoaneurysm of the ascending aorta

  1. T Vydt1,
  2. J Coddens2,
  3. F Wellens3
  1. 1Department of Cardiology, AZ Middelheim, Antwerp, Belgium
  2. 2Department of Anaesthesiology, OLV-Hospital, Aalst, Belgium
  3. 3Department of Cardiothoracic Surgery, OLV-Hospital, Aalst, Belgium
  1. Correspondence to:
    Dr Tom Vydt
    Dr Van Raemdonckstraat 10, 9100 Sint-Niklaas, Belgium;
  • Accepted 1 November 2004


Pseudoaneurysm of the ascending aorta is a well known complication after aortic root surgery. A case of a large pseudoaneurysm is reported, seen as a superior vena cava syndrome, a very rare clinical presentation. Perioperative transoesophageal echocardiography showed the presence of a large pseudoaneurysm starting from the left coronary ostium implantation.