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False aneurysm due to suture loosening after aortic arch replacement
Keita Tanaka1, Haruo Makuuchi, Yoshihiro Naruse
1Division of Cardiovascular Surgery, Toranomon Hospital, Tokyo, Japan. kyky-tanaka@mvc.biglobe.ne.jp
Asian Cardiovascular & Thoracic Annals
|January 23, 2003
Summary
Aortic dissection repair can lead to false aneurysms years later due to suture loosening. Tightening sutures resolved leakage, confirming suture failure as the cause.
Area of Science:
- Cardiovascular Surgery
- Aortic Surgery
- Aneurysm Research
Background:
- Subacute type A aortic dissection requires surgical intervention, often involving graft replacement.
- Anastomotic integrity is crucial for long-term graft success following aortic repair.
Observation:
- A patient developed a false aneurysm 5 years post-aortic dissection repair.
- The false aneurysm was attributed to loosening of anastomotic sutures from the aortic graft.
Findings:
- Leakage from the aortic graft was successfully managed by tightening the loosened sutures.
- Progressive thinning of the edematous aortic wall likely caused the sutures to loosen over time.
Implications:
- This case highlights a potential long-term complication of aortic dissection repair.
- Monitoring for suture integrity and potential aneurysm formation is important in patients with prior aortic graft surgery.