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Acute dissection of ascending aortic aneurysm in a patient with previous coronary artery bypass grafting
T Savunen1, H Heikkilä, V Rantakokko
1Department of Surgery, Turku University Central Hospital, Finland.
Scandinavian Cardiovascular Journal : SCJ
|January 1, 1997
Insights
This study details emergency surgery for annulo-aortic ectasia and acute dissection six years after coronary artery bypass grafting. Reconstruction involved a composite graft, reattaching patent vein grafts, and closing coronary orifices.
Area of Science:
- Cardiovascular Surgery
- Aortic Surgery
- Cardiac Transplantation
Background:
- Annulo-aortic ectasia and acute aortic dissection pose significant surgical challenges.
- Previous coronary artery bypass grafting (CABG) can complicate subsequent aortic repair.
- Management of complex aortic pathologies requires specialized reconstructive techniques.
Abstract:
Six years after coronary artery bypass grafting, a 61-year-old man underwent emergency surgery for annulo-aortic ectasia and acute dissection. The aneurysmal tissue and aortic valve were excised and reconstruction was achieved with a composite graft. The patent vein grafts were attached to the composite graft and the original coronary orifices were closed.