Pseudoaneurysm of graft–graft anastomosis of a hand-sewn branched graft: a case report. Issue 1 (December 2015)

• Record Type: Journal Article
• Authors: Gomibuchi, Toshihito; Takano, Tamaki; Wada, Yuko; Terasaki, Takamitsu; Seto, Tatsuichiro; Fukui, Daisuke
• Is Part Of: Journal of cardiothoracic surgery. Volume 10:Issue 1(2015)
• Page Start: 1
• Page End: 3
• Publication Date: 2015-12
• Subjects: Pseudoaneurysm -- Bleeding -- Aorta operation; Chest -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; 617.54005
• DOI: 10.1186/s13019-015-0356-0
• Languages: English
• ISSNs: 1749-8090

Abstract

Abstract Background Pseudoaneurysm of graft–graft anastomosis is an extremely rare but potentially fatal complication after thoracic aorta replacement with a prosthetic graft. We report a case of pseudoaneurysm at the graft–graft anastomosis of a hand-sewn branched graft. Case Presentation A 65-year-old man underwent total arch replacement with a hand-sewn branched graft for Stanford type A acute aortic dissection 22 years ago. During follow-up, serial CT scans showed a pseudoaneurysm on the branched graft which warranted reintervention. Surgical repair involved direct suture of multiple bleeding points which were found at the sites of the hand-sewn branches anastomosis. The postoperative course was uneventful, and no signs of bleeding were observed by CT after the reoperation. Conclusions Long-term follow-up is essential to detect late complications at the site of hand-sewn anastomosis.