Journals / Türk Göğüs Kalp Damar Cerrahisi Dergisi / 2004 / Cilt: 12 - Sayı: 1
Recurrent mycotic pseudoaneurysm of the aorta after coronary artery bypass
- Pages
- 52–54
- DOI
- —
Abstract
Even in young non-diabetic patients with single internal mammary artery, the risk for mediastinitis still exists. Free latissimus dorsi myocutaneus flap was chosen to repair the mediastinal defect and to protect the aortic patch repair for this case with pseudoaneurysm of the aorta after coronary artery bypass. Although the early result was successful, pseudoaneurysm recurred. Lifelong antibiotic therapy could be useful in order to prevent the recurrence of this fatal complication.
Özet
Koroner bypass cerrahisinde sadece sol mammaryan interna grefti kullanılan hastalarda, diyabet ve ileri yaş söz konusu olmasa bile mediastinit riski mevcuttur. Bu vakada koroner bypass cerrahisi sonrasında mediastinit ve aortada psödoanevrizma gelişen bir hastada perikardiyal yama tamiri ve serbest miyokutanöz latissimus dorsi flebi ile mediastinal rekonstrüksiyon sonrasında gelişen nüks aortik psödoanevrizma tarif edilmiştir.