Alternative technique for early postoperative aortic tear with prosthetic vascular graft: a case report

Bu yazıda, koroner baypas sonrası çıkan aort yaralanmasıolan bir hasta sunuldu. Önceden yerleştirilmiş aort yamaplasti ve koroner greft, sentetik vasküler greft kullanılarakuzatıldı ve mevcut koşullar altında innominat artereanastomoz edildi. Hasta ameliyat sonrası 10. gündetaburcu edildi. Ameliyat sonrası 90. gündeki dinamikbilgisayarlı tomografi anjiyografi hem vasküler greftinhem de sağ koroner safen ven grefti ile anastomozun açıkolduğunu gösterdi.

Ameliyat sonrası erken aort yırtılması için prostetik vasküler greft ile alternatif teknik: Bir olgu sunumu

In this article, we present a patient who underwent coronarybypass, and had a postoperative ascending aorta injury. Theaorta patch plasty and coronary graft which were previouslyplaced were extended by using synthetic vascular graft, andanastomosed to the innominate artery under current conditions.The patient was discharged on postoperative 10th day. Dynamiccomputed tomography angiography on postoperative 90th dayshowed that both the vascular graft and the right coronarysaphenous vein graft as well as the anastomosis were patent.

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  • 1. Cingoz F, Gunay C, Karabacak K, Demirkılıç U, Tatar H. Aortokoroner bypass cerrahisi sonrası proksimal anastomozdan kaynaklanan aort diseksiyonu. Türk Girişimsel Kard Der 2007;11:83-5.
  • 2. Gillinov AM, Lytle BW, Kaplon RJ, Casselman FP, Blackstone EH, Cosgrove DM. Dissection of the ascending aorta after previous cardiac surgery: differences in presentation and management. J Thorac Cardiovasc Surg 1999;117:252-60.
  • 3. Staatz G, Bücker A. Spontaneous nontraumatic rupture of the descending thoracic aorta with development of a giant pseudoaneurysm. J Vasc Interv Radiol 2001;12:394-5.
  • 4. Toker A, Tanju S, Ozluk Y, Kaya S. Partial resection of the aorta and patch plasty with a simple clamping technique in a lung cancer patient. Interact Cardiovasc Thorac Surg 2011;12:827-8.
  • 5. Tomizawa Y. Vascular prostheses for aortocoronary bypass grafting: a review. Artif Organs 1995;19:39-45.
  • 6. Ruchat P, Hurni M, Stumpe F, Fischer AP, von Segesser LK. Acute ascending aortic dissection complicating open heart surgery: cerebral perfusion defines the outcome. Eur J Cardiothorac Surg 1998;14:449-52.
Türk Göğüs Kalp Damar Cerrahisi Dergisi-Cover
  • ISSN: 1301-5680
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1991
  • Yayıncı: Bayçınar Tıbbi Yayıncılık
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