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Asian Cardiovasc Thorac Ann 2002;10:346-348
© 2002 Asia Publishing EXchange Pte Ltd

CASE STUDY

False Aneurysm Due to Suture Loosening After Aortic Arch Replacement

Keita Tanaka, MD, Haruo Makuuchi, MD, Yoshihiro Naruse, MD, Toshiya Kobayashi, MD, Ichiro Hayashi, MD, Takehiko Takayama, MD, Yusuke Namifusa, MD

Division of Cardiovascular Surgery Toranomon Hospital Tokyo, Japan
For reprint information contact: Keita Tanaka, MD Tel: 81 436 62 1211 Fax: 81 436 61 3961 email: kyky-tanaka{at}mvc.biglobe.ne.jp Division of Cardiovascular Surgery, Teikyo University School of Medicine, Ichihara Hospital, 3426-3 Anesaki, Ichihara City, Chiba 299-0111, Japan.
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.






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