Pseudoaneurysm of graft–graft anastomosis of a hand-sewn branched graft: a case report

BACKGROUND: Pseudoaneurysm of graft–graft anastomosis is an extremely rare but potentially fatal complication after thoracic aorta replacement with a prosthetic graft. We report a case of pseudoaneurysm at the graft–graft anastomosis of a hand-sewn branched graft. CASE PRESENTATION: A 65-year-old ma...

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Autores principales: Gomibuchi, Toshihito, Takano, Tamaki, Wada, Yuko, Terasaki, Takamitsu, Seto, Tatsuichiro, Fukui, Daisuke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4635580/
https://www.ncbi.nlm.nih.gov/pubmed/26541198
http://dx.doi.org/10.1186/s13019-015-0356-0
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author Gomibuchi, Toshihito
Takano, Tamaki
Wada, Yuko
Terasaki, Takamitsu
Seto, Tatsuichiro
Fukui, Daisuke
author_facet Gomibuchi, Toshihito
Takano, Tamaki
Wada, Yuko
Terasaki, Takamitsu
Seto, Tatsuichiro
Fukui, Daisuke
author_sort Gomibuchi, Toshihito
collection PubMed
description BACKGROUND: Pseudoaneurysm of graft–graft anastomosis is an extremely rare but potentially fatal complication after thoracic aorta replacement with a prosthetic graft. We report a case of pseudoaneurysm at the graft–graft anastomosis of a hand-sewn branched graft. CASE PRESENTATION: A 65-year-old man underwent total arch replacement with a hand-sewn branched graft for Stanford type A acute aortic dissection 22 years ago. During follow-up, serial CT scans showed a pseudoaneurysm on the branched graft which warranted reintervention. Surgical repair involved direct suture of multiple bleeding points which were found at the sites of the hand-sewn branches anastomosis. The postoperative course was uneventful, and no signs of bleeding were observed by CT after the reoperation. CONCLUSIONS: Long-term follow-up is essential to detect late complications at the site of hand-sewn anastomosis.
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spelling pubmed-46355802015-11-07 Pseudoaneurysm of graft–graft anastomosis of a hand-sewn branched graft: a case report Gomibuchi, Toshihito Takano, Tamaki Wada, Yuko Terasaki, Takamitsu Seto, Tatsuichiro Fukui, Daisuke J Cardiothorac Surg Case Report BACKGROUND: Pseudoaneurysm of graft–graft anastomosis is an extremely rare but potentially fatal complication after thoracic aorta replacement with a prosthetic graft. We report a case of pseudoaneurysm at the graft–graft anastomosis of a hand-sewn branched graft. CASE PRESENTATION: A 65-year-old man underwent total arch replacement with a hand-sewn branched graft for Stanford type A acute aortic dissection 22 years ago. During follow-up, serial CT scans showed a pseudoaneurysm on the branched graft which warranted reintervention. Surgical repair involved direct suture of multiple bleeding points which were found at the sites of the hand-sewn branches anastomosis. The postoperative course was uneventful, and no signs of bleeding were observed by CT after the reoperation. CONCLUSIONS: Long-term follow-up is essential to detect late complications at the site of hand-sewn anastomosis. BioMed Central 2015-11-05 /pmc/articles/PMC4635580/ /pubmed/26541198 http://dx.doi.org/10.1186/s13019-015-0356-0 Text en © Gomibuchi et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Gomibuchi, Toshihito
Takano, Tamaki
Wada, Yuko
Terasaki, Takamitsu
Seto, Tatsuichiro
Fukui, Daisuke
Pseudoaneurysm of graft–graft anastomosis of a hand-sewn branched graft: a case report
title Pseudoaneurysm of graft–graft anastomosis of a hand-sewn branched graft: a case report
title_full Pseudoaneurysm of graft–graft anastomosis of a hand-sewn branched graft: a case report
title_fullStr Pseudoaneurysm of graft–graft anastomosis of a hand-sewn branched graft: a case report
title_full_unstemmed Pseudoaneurysm of graft–graft anastomosis of a hand-sewn branched graft: a case report
title_short Pseudoaneurysm of graft–graft anastomosis of a hand-sewn branched graft: a case report
title_sort pseudoaneurysm of graft–graft anastomosis of a hand-sewn branched graft: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4635580/
https://www.ncbi.nlm.nih.gov/pubmed/26541198
http://dx.doi.org/10.1186/s13019-015-0356-0
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