Large Ascending Aortic Pseudoaneurysm with Focal Dissection after Coronary Artery Bypass Surgery.

IF 0.3 Q4 SURGERY Thoracic and Cardiovascular Surgeon Reports Pub Date : 2023-11-10 eCollection Date: 2023-01-01 DOI:10.1055/a-2192-5909
Devon Anderson, Anna Xue, Samantha Wong, Bob Kiaii, Jorge Catrip-Torres
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Abstract

Background  There are many known complications that occur after surgical revascularization for patients with significant left main coronary artery disease. Case Description  This case report highlights the preoperative workup, surgical approach, and postoperative management of a patient who presents with an aortic pseudoaneurysm and dissection 2 years after the index CABG. Conclusion  The development of an aortic pseudoaneurysm in combination with an ascending aortic dissection after prior coronary artery bypass grafting (CABG) is a rare compilation of complications that has scarcely been reported in the literature.

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冠状动脉搭桥术后伴有局灶性夹层的大升主动脉假性动脉瘤。
背景对于严重的左主干冠状动脉疾病患者,手术重建术后会出现许多已知的并发症。病例描述:本病例报告重点介绍了一例在冠脉搭桥术后2年出现主动脉假性动脉瘤和夹层的患者的术前检查、手术入路和术后处理。结论冠状动脉旁路移植术(CABG)后并发主动脉假性动脉瘤合并升主动脉夹层是一种罕见的并发症,在文献中几乎没有报道。
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