Endovascular management of pseudoaneurysm formation in the ascending aorta following lung transplantation

Purpose: To demonstrate the role of endovascular approaches to the ascending aorta in the post-transplant context. Case Reports: Three patients (2 women and 1 man aged 52, 68, and 43 years, respectively) developed pseudoaneurysm of the ascending aorta following thoracic organ transplantation. Due to the prohibitive risk of open surgery in each case, an endovascular repair of the ascending aorta was performed, with implantation of 1 to 3 stent-grafts to span the lesions. Follow-up imaging demonstrated complete exclusion of the pseudoaneurysms, with excellent outcomes at 4 months, 6 months, and 3 years. Conclusion: Stent-grafting of the ascending aorta represents a viable approach to pseudoaneurysm in the post-transplant setting.