Carrel Thierry, Hurni Samuel, Huber Christoph, Englberger Lars
Clinic for Cardiovascular Surgery, University Hospital Bern and University of Bern, Bern, Switzerland.
Aorta (Stamford). 2016 Dec 1;4(6):244-247. doi: 10.12945/j.aorta.2016.16.031. eCollection 2016 Dec.
We present a simplified surgical technique that was performed on a 37-year-old man who presented with a pseudoaneurysm of the left coronary ostium two months after repair of acute Type A aortic dissection with a composite graft. Intraoperatively, the surgical sites showed extreme adhesions. The leakage at the level of the coronary suture line was exposed from inside the aortic graft. Repair was performed using 7.0 polypropylene sutures, and the postoperative course was uneventful. The patient was discharged on postoperative day six without further complications.