Editor-in-Chief
Ufuk Demirkılıç
Frequency
Quarterly
Abbreviation
Turk J Vasc Surg
Publisher
Turkish National Vascular and Endovascular Surgery Society
E-ISSN
2667-5080


Turkish Journal of Vascular Surgery
2018 , Vol 27 , Issue 1
A mortal complication: Ascending aortic pseudoaneurysm after coronary artery bypass surgery
1Ordu Devlet Hastanesi, Kalp ve Damar Cerrahisi Kliniği, Ordu, Türkiye
DOI :
10.9739/uvcd.2015-47993
Ascending aortic pseudoaneurysm is a rare complication after open cardiac surgery with high mortality. Herein, we present a 47-year-old
male patient in whom a pseudoaneurysm of the ascending aorta developed two years after coronary artery bypass grafting. The patient
was referred to our clinic with the preliminary diagnosis of aortic dissection following transthoracic echocardiography. Based on the
thoracic computed tomography angiography, coronary angiography, and ascending aortography results, the patient was diagnosed with a
pseudoaneurysm of the ascending aorta and was operated urgently. The pseudoaneursym originated from the site of the cardioplegia needle
entry. We performed graft interposition with a No. 26 Dacron tube graft under total circulatory arrest and deep hypothermia. Postoperative
recovery was completely uneventful, and the patient was discharged on the postoperative Day 7 with full recovery. An effective and suitable
surgical technique should be performed due to the risk of rupture of pseudoaneurysm and mortality in these patients.
Keywords :
Aneurysm; aorta; coronary artery bypass grafting; false
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