title: Surgery for detached coronary ostial anastomosis 21 years post-Bentall procedure.
abstract: Though a high frequency of postoperative complications after an original Bentall procedure has been reported, several procedures that reduce the incidence of complications have been developed. Complications relating to anastomoses of the interposed graft are infrequent but life-threatening. This report describes a case of a 61-year-old man who presented with heart failure secondary to bilateral detachment of coronary ostial anastomoses and graft stenosis 21 years after undergoing a modified Bentall procedure. These complications were successfully repaired by reconstructing the conduit and coronary arteries.
authors.affiliation: Department of Cardiac Surgery, Sendai Cardiovascular Center, 21-1 Honda-cho, Izumi-ku, Sendai, Miyagi, 981-3107, Japan. ringo-stars@infoseek.jp.
authors.forename: Shogo
authors.initials: S
authors.lastname: Isomura
authors.affiliation: Department of Cardiac Surgery, Sendai Cardiovascular Center, 21-1 Honda-cho, Izumi-ku, Sendai, Miyagi, 981-3107, Japan.
authors.forename: Susumu
authors.initials: S
authors.lastname: Hosoda
authors.affiliation: Department of Cardiac Surgery, Sendai Cardiovascular Center, 21-1 Honda-cho, Izumi-ku, Sendai, Miyagi, 981-3107, Japan.
authors.forename: Akira
authors.initials: A
authors.lastname: Shikawa
mesh_terms: D000714:Anastomosis, Surgical; D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D017023:Coronary Angiography / Q000379:methods; D001026:Coronary Artery Bypass; D003331:Coronary Vessels / Q000601:surgery*; D006083:Graft Occlusion, Vascular / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: CABG; Complications; Reoperation (aorta); Surgery