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Wrapping of an Ascending Aortic Aneurysm with the Multiple Boot-Straps Technique in a Patient Undergoing Off-Pump Coronary Artery Bypass Grafting

  • Na, Kwon Joong (Departments of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Kim, Jun Sung (Departments of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Park, Kay-Hyun (Departments of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Lim, Cheong (Departments of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine)
  • Received : 2014.07.29
  • Accepted : 2014.09.15
  • Published : 2015.06.05

Abstract

Ascending aortic aneurysms are usually treated with graft replacement under cardiopulmonary bypass. However, if a candidate for off-pump coronary artery bypass grafting has an enlarged ascending aorta, surgeons may consider wrapping it without cardiopulmonary bypass. Here, we report a 78-year-old female who underwent successful wrapping of the ascending aorta concomitant with off-pump coronary artery bypass grafting, using a new wrapping technique that involves multiple bootstraps.

Keywords

References

  1. Arsan S. Off-pump reduction aortoplasty and concomitant coronary artery bypass grafting. Ann Thorac Surg 2004;78:316-9. https://doi.org/10.1016/S0003-4975(03)01281-5
  2. Cohen O, Odim J, De la Zerda D, et al. Long-term experience of girdling the ascending aorta with Dacron mesh as definitive treatment for aneurysmal dilation. Ann Thorac Surg 2007;83:S780-4. https://doi.org/10.1016/j.athoracsur.2006.10.086
  3. Arsan S, Akgun S, Kurtoglu N, Yildirim T, Tekinsoy B. Reduction aortoplasty and external wrapping for moderately sized tubular ascending aortic aneurysm with concomitant operations. Ann Thorac Surg 2004;78:858-61. https://doi.org/10.1016/j.athoracsur.2004.03.101
  4. Okada K, Omura A, Kano H, et al. Short and midterm outcomes of elective total aortic arch replacement combined with coronary artery bypass grafting. Ann Thorac Surg 2012;94:530-6. https://doi.org/10.1016/j.athoracsur.2012.04.034
  5. Safi HJ, Miller CC 3rd, Lee TY, Estrera AL. Repair of ascending and transverse aortic arch. J Thorac Cardiovasc Surg 2011;142:630-3. https://doi.org/10.1016/j.jtcvs.2010.11.015
  6. Lytle BW, Mahfood SS, Cosgrove DM, Loop FD. Replacement of the ascending aorta: early and late results. J Thorac Cardiovasc Surg 1990;99:651-7.
  7. Akgun S, Atalan N, Fazliogullari O, Kunt AT, Basaran C, Arsan S. Aortic root aneurysm after off-pump reduction aortoplasty. Ann Thorac Surg 2010;90:e69-70. https://doi.org/10.1016/j.athoracsur.2010.07.068
  8. Polvani G, Barili F, Dainese L, et al. Reduction ascending aortoplasty: midterm follow-up and predictors of redilatation. Ann Thorac Surg 2006;82:586-91. https://doi.org/10.1016/j.athoracsur.2006.03.025