False aneurysm due to suture loosening after aortic arch replacement.
We describe a case of false aneurysm due to loosening of the anastomotic sutures 5 years after graft replacement for subacute type A aortic dissection. Leakage from the graft was controlled by tightening the suture slack indicating that suture loosening was the cause of the aneurysm. The mechanism was probably the progressive thinning of the edematous swollen aortic wall over the years causing the sutures to loosen.
Tanaka
Keita
K
Division of Cardiovascular Surgery, Toranomon Hospital, Tokyo, Japan. kyky-tanaka@mvc.biglobe.ne.jp
Makuuchi
Haruo
H
Naruse
Yoshihiro
Y
Kobayashi
Toshiya
T
Hayashi
Ichiro
I
Takayama
Takehiko
T
Namifusa
Yusuke
Y
D000368:Aged; D000714:Anastomosis, Surgical / Q000009:adverse effects*; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D011859:Radiography; D013536:Suture Techniques / Q000009:adverse effects*; D013537:Sutures / Q000009:adverse effects*