Pseudo-aneurysm formation post apico-aortic conduit.

Apico-aortic conduit (AAC) is an alternative to conventional aortic valve replacement (AVR) in selected high-risk patients. It involves the interposition of a vascular graft with a prosthetic valve from the left ventricular (LV) apex to the descending thoracic aorta. Its use is uncommon but increasing. We describe the complication of pseudo-aneurysm formation following an apico-aortic procedure and its subsequent management.