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Pseudoaneurysm developed after aortic root homograft implantation

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Abstract

A 55-year-old man with severe infective endocarditis underwent aortic root replacement using a homograft concomitant with saphenous vein grafting to the left anterior descending artery. The patient developed angina due to stenosis of the proximal anastomosis of the vein graft accompanied by a 2-cm pseudoaneurysm. This complex lesion was successfully managed with urgent coronary artery bypass surgery through a left thoracotomy, followed by a redo replacement of the old aortic homograft The mechanism and the basis of the treatment strategy adopted for this case are described.

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Authors and Affiliations

  1. From the Department of Cardiothoracic Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan

    Hiroo Takayama MD, Toshiya Otsuka MD, Hiroshi Kubota MD, Ko Shibata MD, Tadashi Kitamura MD & Shinichi Takamoto MD

Authors
  1. Hiroo Takayama MD
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  2. Toshiya Otsuka MD
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  3. Hiroshi Kubota MD
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  4. Ko Shibata MD
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  5. Tadashi Kitamura MD
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  6. Shinichi Takamoto MD
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Takayama, H., Otsuka, T., Kubota, H. et al. Pseudoaneurysm developed after aortic root homograft implantation. Jpn J Thorac Caridovasc Surg 52, 158–160 (2004). https://doi.org/10.1007/s11748-004-0135-7

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  • DOI: https://doi.org/10.1007/s11748-004-0135-7

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