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Large Ascending Aortic Pseudoaneurysm with Focal Dissection after Coronary Artery Bypass Surgery
Devon Anderson1, Anna Xue2, Samantha Wong3
1Department of Surgery, University of California Davis Medical Center, Sacramento, California, United States.
Insights
A rare complication following coronary artery bypass grafting (CABG) involves aortic pseudoaneurysm and dissection. This case report details the management of a patient presenting with these serious conditions two years post-CABG.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Vascular Surgery
Background:
- Significant left main coronary artery disease often requires surgical revascularization.
- Coronary artery bypass grafting (CABG) carries known risks and potential complications.
- Aortic complications after cardiac surgery are serious and require prompt management.
Abstract:
Background There are many known complications that occur after surgical revascularization for patients with significant left main coronary artery disease. Case Description This case report highlights the preoperative workup, surgical approach, and postoperative management of a patient who presents with an aortic pseudoaneurysm and dissection 2 years after the index CABG. Conclusion The development of an aortic pseudoaneurysm in combination with an ascending aortic dissection after prior coronary artery bypass grafting (CABG) is a rare compilation of complications that has scarcely been reported in the literature.
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