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Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Unexpected Radiation-Induced Aortic Wall Thickening Requiring Composite Graft Technique during Off-Pump Coronary
Paola Redaelli1, Amando Gamba1, Antonello Stefano Martino1
1Cardiovascular Department, Cardiac Surgery Unit, "A. Manzoni" Hospital, Lecco, Italy.
Abstract:
Mediastinal radiation is commonly used to treat Hodgkin's and non-Hodgkin's lymphoma, lung and breast cancer. Cardiac complications after radiation therapy are well described, although rare. A large spectrum of injuries can occur, causing long term morbidity among survivors. We describe a case of post-actinic ascending aortic wall thickening that prevented saphenous vein proximal anastomosis and was successfully managed with aortic no-touch off-pump coronary artery bypass grafting (OPCAB), 25 years after radiation therapy for Hodgkin's lymphoma.

