Korean J Thorac Cardiovasc Surg.
2007 Mar;40(3):225-227.
Surgical Repair of Left Coronary Artery Pseudoaneurysm 10 Years after a Bentall's Procudure
- Affiliations
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- 1Department of Cardiovascular Surgery, Shinchon Severance Hospital, Yonsei University College of Medicine, Korea.
- 2Department of Cardiovascular Surgery, Yongdong Severance Hospital, Yonsei University College of Medicine, Korea. yshong@yumc.yonsei.ac.kr
- 3Department of Thoracic and Cardiovascular Surgery, Ajou University School of Medicine, Korea.
Abstract
- The aortic inclusion technique is frequently used in the original Bentall's procedure for the control of excessive postoperative bleeding. Although this procedure has improved the outcome of patients with aortic root disease, there is a high incidence of both early and late complications, including coronary artery stenosis, kinking or pseudoaneurysm formation at the coronary suture lines. Pseudoaneurysm of the ascending aorta is a relatively rare, but fatal complication, which occurs after wrap-inclusion composite graft replacement. Herein, the case of a 45-year-old female, who developed a perigraft aortic pseudoaneurysm 10 years after a Bentall's procedure (wrap-inclusion technique), but was successfully managed using the Cabrol's method, is reported.
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