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).