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Early type A dissection with the aortic connector device.
Kenji Okada1, Taijiro Sueda, Kazumasa Orihashi
1Department of Cardiovascular Surgery, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan. kokada@hiroshima-u.ac.jp
Summary
A mechanical aortic connector used in bypass surgery led to a new aortic dissection in a patient with prior type B dissection. Careful use of this device is crucial in patients with a history of aortic dissection.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Aortic Dissection
Background:
- A 75-year-old female patient with a history of type B aortic dissection underwent coronary artery bypass grafting.
- The surgery utilized a mechanical aortic connector for aortic anastomosis.
Observation:
- Four days post-operation, the patient experienced sudden syncope.
- Computed Tomography (CT) revealed a new type A aortic dissection.
Findings:
- An emergency surgical intervention was performed for the type A dissection.
- The patient's postoperative recovery was uneventful.
Implications:
- This case highlights the potential risk associated with mechanical aortic connectors in patients with a history of type B aortic dissection.
- Judicious use and careful patient selection are recommended when employing these devices in complex aortic cases.