Simplified Approach to Repair Early Pseudoaneurysm of the Left Coronary Button Following Composite Graft Because of Acute Type A Aortic Dissection

Thierry Carrel, Samuel Hurni and Christoph Huber

Clinic for Cardiovascular Surgery, University Hospital Bern and University of Bern, Switzerland

^*Correspondance to: Thierry Carrel 

 PDF  Full Text DOI: 10.25107/2474-1647.1057

Abstract

We present a simplified surgical technique performed in a 37-yr old man who presented with a pseudoaneurysm of the left coronary ostium 2 months after repair of acute type A aortic dissection by composite graft. Intraoperatively, the surgical situs showed extreme adhesions. The leakage at the level of the coronary suture line was exposed from inside the aortic graft. Repair was performed by 7.0 polypropylene sutures and the postoperative course was uneventful. The patient was discharged on postoperative day 6.

Keywords

Aortic dissection; Composite graft; Coronary button pseudoaneurysm

Cite the article

Carrel T, Hurni S, Huber C. Simplified Approach to Repair Early Pseudoaneurysm of the Left Coronary Button Following Composite Graft Because of Acute Type A Aortic Dissection. Clin Surg. 2016; 1: 1057.