Abstract
A 59-year-old woman who had undergone aortic valve replacement for infected endocarditis at 47 years old and repair for pseudoaneurysm at the site of a prior aortotomy 2 years previously was transferred to our hospital. Follow-up computed tomographic (CT) images demonstrated a recurrent pseudoaneurysm of the ascending aorta. Aortic graft replacement was performed using cardiopulmonary bypass under hypothermic circulatory arrest. Postoperatively, the patient suffered from cerebral infarction and therefore, we initiated edaravone administration with rehabilitation. She recovered without palsy, and postoperative CT images showed that the pseudoaneurysm had completely disappeared.