Back to Search
Start Over
Case report: asymptomatic pseudoaneurysm of the native coronary soon after the graft anastomosis treated with off-pump repair.
- Source :
- European Heart Journal Case Reports; Feb2022, Vol. 6 Issue 2, p1-5, 5p
- Publication Year :
- 2022
-
Abstract
- Background Pseudoaneurysms (PSAs) of native coronary arteries are rare but potentially lethal complications occurring after coronary artery graft anastomosis mainly secondary to median sternotomy. Case summary A 61-year-old man underwent coronary artery bypass grafting because of stable angina. After the surgery, the patient was asymptomatic. A routine pre-discharge transthoracic echocardiogram was performed showing a haematoma of the apex partially involving the right ventricle with systolic colour Doppler flow going from the left ventricle to the pericardium. A coronary computed tomography scan was ordered and it revealed the presence of a PSA of the left anterior descending (LAD) artery distal to the graft anastomosis with the left internal mammary artery. An off-pump direct suture of the LAD injury through a redo sternotomy was successfully performed. Discussion The development of a PSA of a native coronary artery after bypass grafting is a very rare and potentially fatal condition. A correct and prompt diagnosis is crucial to avoid lethal complication. [ABSTRACT FROM AUTHOR]
- Subjects :
- FALSE aneurysms
CORONARY artery bypass
INTERNAL thoracic artery
CORONARY arteries
Subjects
Details
- Language :
- English
- ISSN :
- 25142119
- Volume :
- 6
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- European Heart Journal Case Reports
- Publication Type :
- Academic Journal
- Accession number :
- 155606243
- Full Text :
- https://doi.org/10.1093/ehjcr/ytac014