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Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
[Cardiac Arrest due to Pseudoaneurysm-induced Compression after Ascending Aortic Replacement for Stanford Type A
Daigo Shinoda1, Atsushi Miyagawa, Nobu Yokoyama
1Department of Cardiovascular Surgery, Tokyo Metropolitan Bokutoh Hospital, Tokyo, Japan.
Abstract:
We present the case of a 27-year-old male who collapsed due to severe stenosis of an artificial vessel caused by a pseudoaneurysm at the central anastomotic site after acute aortic dissection Stanford type A. Although we believe that BioGlue mediated tissue toxicity may be one cause of this pseudoaneurysm, other factors, such as tissue separation due to tissue fragility caused by infection, inflammation, and cutting caused by the surgical procedure, are also thought to have contributed. Emergency re-operation was performed after resuscitation. The patient was eventually discharged home without adverse events on the 34th postoperative day. Careful observation in mid- to long-term and remote post-operative phases is necessary for patients subjected to procedures using BioGlue, and prompt repair of pseudoaneurysms is desirable.
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