AI Summary & Key Takeaways
AI InsightNormothermia was achieved and the patient was weaned from the cardiopulmonary bypass uneventfully.
📌 3 Key Takeaways
Abstract
Pseudoaneurysm formation with aorto-right atrial fistula due to coronary button total detachment is a late and unusual complication of the Bentall procedure. In this article, we report a 43-year-old male case who underwent the Bentall procedure for bicuspid aortic valve and ascending aortic aneurysm 11 years prior. The connection on the right atrium was primarily sutured and the defect of the ascending aorta was closed with a Dacron graft. The thrombosed right coronary artery ostium was ligated with saphenous vein grafting. Normothermia was achieved and the patient was weaned from the cardiopulmonary bypass uneventfully.
Özet
Koroner buton tam ayrılmasına bağlı aorto-sağ atriyal fistül ile sonuçlanan psödoanevrizma oluşumu, Bentall işleminin geç ve nadir bir komplikasyonudur. Bu yazıda, 11 yıl önce biküspit aort kapak ve çıkan aort anevriz- ması nedeniyle Bentall işlemi uygulanmış 43 yaşında erkek bir olgu sunuldu. Sağ atriyumdaki bağlantı primer olarak dikildi ve çıkan aorttaki defekt Dakron greft ile kapatıldı. Tromboze sağ koroner arter ostiyumu safen ven grefti ile ligate edildi. Sonrasında normotermi sağlandı ve hasta kardiyopulmoner baypastan sorunsuz olarak ayrıldı.