A Case of Mediastinitis and Anastomotic Pseudoaneurysm after Replacement of the Ascending Aorta and Aortic Arch for Acute Type A Dissection.
10.4326/jjcvs.31.292
- VernacularTitle:Ｓｔａｎｆｏｒｄ ｔｙｐｅ Ａ大動脈解離に対する人工血管置換術後に縦隔炎，吻合部仮性動脈りゅうを合併した１例
- Author:
Toshihiko Sakao
;
Nobuo Tsunooka
;
Hiromichi Nakagawa
;
Yasuaki Kashuu
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2002;31(4):292-295
- CountryJapan
- Language:Japanese
-
Abstract:
A 38-year-old man underwent replacement of the ascending aorta and aortic arch for acute type A dissection. On the 11th postoperative day he developed mediastinitis. Omental transposition was performed successfully. The patient was readmitted for bloody discharge from the wound. He suffered from back pain suddenly. Computed tomography and aortography revealed an anastomotic pseudoaneurysm of the ascending aorta. Emergency reoperation to replace the ascending aorta with a new prosthesis was performed. The postoperative course was uneventful.
