Acute Myocardial Infarction and Severe Prosthetic Dysfunction after Bentall Procedure

Hotta, Viviane Tiemi; Barrós, P; Gutierrez, Paulo Sampaio; Bolonhez, Angela Cristina Pasiani; Mathias, Wilson; Dias, Ricardo Ribeiro

doi:10.5935/abc.20140199

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2018

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“…It is most commonly caused by infection of the aortocoronary vein graft suture lines, but it also occurs more frequently in patients with connective tissue disorders or in genetically defined aortopathies such as LDS. Other reasons for coronary graft dehiscence relate to more technical aspects of the Bentall procedure like increased bleeding or difficulty achieving hemostasis that may limit the reestablishment of coronary flow [9]. Pseudoaneurysm formation after aortic root replacement may also be an inherent risk in patients with LDS.…”

Section: Discussionmentioning

confidence: 99%

Loeys-Dietz Syndrome Complicated by Right Coronary Artery Pseudoaneurysm

Jawaid

Aqtash

Mansoor

et al. 2018

Case Reports in Cardiology

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Loeys-Dietz syndrome is a rare autosomal dominant connective tissue disorder notable for rapidly progressive vascular aneurysmal disease and craniofacial defects. Patients are at an increased risk for aneurysm rupture and dissection at younger ages compared to other aneurysmal syndromes. Early surgical intervention is important for prevention of ruptures and/or dissection. The coronary arterial tree is mostly involved as a result of postoperative complications of an aortic root repair. This fact has been sparsely reported. We report a unique case of LDS2 presenting with chest pain that was later diagnosed as a pseudoaneurysm as a result of a right coronary artery graft dehiscence.

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Section: Discussionmentioning

confidence: 99%