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Peripheral embolism in a patient undergoing modified Bentall procedure.

Ersin Kadiroğulları1, Barış Timur1, Onur Şen1

  • 1Department of Cardiovascular, University of Health Sciences, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey.

Turk Gogus Kalp Damar Cerrahisi Dergisi
|February 22, 2020
PubMed
Summary

A patient experienced acute leg pain after a Bentall De-Bono procedure due to aortic dissection. Doctors found a clot in the prosthetic graft, leading to reoperation and successful clot removal.

Keywords:
Ascending aortadistal emboligraftthrombosis

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Area of Science:

  • Cardiovascular Surgery
  • Vascular Surgery
  • Cardiology

Background:

  • The Bentall De-Bono procedure is a complex surgery for aortic dissection.
  • Postoperative anticoagulation management is critical for preventing complications.

Observation:

  • A 30-year-old male presented with acute lower extremity pain six months post-Bentall De-Bono procedure.
  • Computed tomography angiography revealed thrombosis in the ascending aortic prosthetic graft and left iliac artery obstruction.

Findings:

  • The patient had an international normalized ratio of 2.2, indicating therapeutic anticoagulation.
  • Reoperation successfully removed a chronic thrombus from the ascending aortic prosthetic graft.

Implications:

  • Prosthetic graft thrombosis can occur even with therapeutic anticoagulation.
  • Early diagnosis and surgical intervention are crucial for managing graft complications after aortic dissection repair.