Figure 4 A,B) these intraoperative images demonstrate the 1cm defect in the ascending aorta, shown at the tip of the forceps, which was subsequently repaired
Once the patient was adequately cooled, DHCA was instituted and the endoballoon deflated. A bovine pericardial patch was sewn into the defect, the aorta and heart de-aired, systemic flow restored, and the patient rewarmed. Endoballoon inflation time was 32 minutes with DHCA of only 8 minutes. Post procedural echo demonstrated normal biventricular function and the patient was transferred to intensive care in a stable condition. Post procedural CT demonstrated an excellent result with complete resolution of the pseudoaneurysm (figure 3).