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Aortic Perigraft Seroma After Total Arch Replacement-A Diagnostic Challenge
Georges Kamil Tinawi1, Sean D Galvin1
1Department of Cardiothoracic Surgery, Wellington Regional Hospital, Wellington, New Zealand.
Annals of Thoracic Surgery Short Reports
|January 10, 2025
Summary
Perigraft seroma, a rare aortic surgery complication, can be managed non-surgically. This case study shows successful non-operative treatment for a symptomatic aortic arch perigraft seroma in a Marfan syndrome patient.
Area of Science:
- Cardiovascular Surgery
- Medical Complications
- Aortic Aneurysm
Background:
- Perigraft seroma is a rare but significant complication following aortic surgery.
- Differentiating seroma from more severe conditions requiring surgical intervention is crucial for patient management.
Observation:
- A 25-year-old male with Marfan syndrome developed a large, symptomatic aortic arch perigraft seroma.
- This complication occurred after his fourth redo cardiac surgery for total arch replacement.
Findings:
- The patient's symptomatic aortic arch perigraft seroma was successfully managed without surgical intervention.
- Explorative mediastinotomy was performed, and the patient remained well with no recurrence 18 months post-procedure.
Implications:
- This case highlights the potential for non-operative management of symptomatic perigraft seromas after complex aortic arch surgery.
- Clinical vigilance and appropriate diagnostic evaluation are key to distinguishing seroma from other post-operative complications.
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