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A Case of Acute Type A Aortic Dissection after Coronary Artery Bypass Grafting

The patient was a 69-year-old man who underwent emergency surgery for acute aortic dissection that developed 5 months after coronary artery bypass grafting. The left internal thoracic artery (LITA) graft anastomosed to the left descending artery was not affected by the aortic dissection, and during...

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Autores principales: Suzuki, Hirotoshi, Kita, Shota, Komagamine, Masahide, Tomimoto, Daijun, Chiba, Kiyoshi, Nawata, Kan, Miyairi, Takeshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10284665/
https://www.ncbi.nlm.nih.gov/pubmed/35082190
http://dx.doi.org/10.5761/atcs.cr.21-00193
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author Suzuki, Hirotoshi
Kita, Shota
Komagamine, Masahide
Tomimoto, Daijun
Chiba, Kiyoshi
Nawata, Kan
Miyairi, Takeshi
author_facet Suzuki, Hirotoshi
Kita, Shota
Komagamine, Masahide
Tomimoto, Daijun
Chiba, Kiyoshi
Nawata, Kan
Miyairi, Takeshi
author_sort Suzuki, Hirotoshi
collection PubMed
description The patient was a 69-year-old man who underwent emergency surgery for acute aortic dissection that developed 5 months after coronary artery bypass grafting. The left internal thoracic artery (LITA) graft anastomosed to the left descending artery was not affected by the aortic dissection, and during the ascending aortic replacement, the artery was not identified for clamping. Although fully sufficient cardioplegia was not achieved due to the patent LITA graft, the patient’s postoperative cardiac function was good. The two anastomotic sites of the vein grafts to the ascending aorta were excised along with a remnant of the aortic wall in an island fashion and were reimplanted onto the artificial graft. Based on the site of intimal tear, we speculated that partial clamping during the previous surgery had caused the dissection.
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spelling pubmed-102846652023-06-22 A Case of Acute Type A Aortic Dissection after Coronary Artery Bypass Grafting Suzuki, Hirotoshi Kita, Shota Komagamine, Masahide Tomimoto, Daijun Chiba, Kiyoshi Nawata, Kan Miyairi, Takeshi Ann Thorac Cardiovasc Surg Case Report The patient was a 69-year-old man who underwent emergency surgery for acute aortic dissection that developed 5 months after coronary artery bypass grafting. The left internal thoracic artery (LITA) graft anastomosed to the left descending artery was not affected by the aortic dissection, and during the ascending aortic replacement, the artery was not identified for clamping. Although fully sufficient cardioplegia was not achieved due to the patent LITA graft, the patient’s postoperative cardiac function was good. The two anastomotic sites of the vein grafts to the ascending aorta were excised along with a remnant of the aortic wall in an island fashion and were reimplanted onto the artificial graft. Based on the site of intimal tear, we speculated that partial clamping during the previous surgery had caused the dissection. The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery 2022-01-25 2023 /pmc/articles/PMC10284665/ /pubmed/35082190 http://dx.doi.org/10.5761/atcs.cr.21-00193 Text en ©2023 Annals of Thoracic and Cardiovascular Surgery https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License (https://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle Case Report
Suzuki, Hirotoshi
Kita, Shota
Komagamine, Masahide
Tomimoto, Daijun
Chiba, Kiyoshi
Nawata, Kan
Miyairi, Takeshi
A Case of Acute Type A Aortic Dissection after Coronary Artery Bypass Grafting
title A Case of Acute Type A Aortic Dissection after Coronary Artery Bypass Grafting
title_full A Case of Acute Type A Aortic Dissection after Coronary Artery Bypass Grafting
title_fullStr A Case of Acute Type A Aortic Dissection after Coronary Artery Bypass Grafting
title_full_unstemmed A Case of Acute Type A Aortic Dissection after Coronary Artery Bypass Grafting
title_short A Case of Acute Type A Aortic Dissection after Coronary Artery Bypass Grafting
title_sort case of acute type a aortic dissection after coronary artery bypass grafting
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10284665/
https://www.ncbi.nlm.nih.gov/pubmed/35082190
http://dx.doi.org/10.5761/atcs.cr.21-00193
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