Key result
Aortic graft replacement successfully treats asymptomatic type A dissection in right-sided arch post-OPCAB.
Why the study?
Aortic dissection developing after cardiac surgery differs from idiopathic cases, and presenting with a right-sided aortic arch is rare.
Case Report (n=1)
Preoperative evaluation of coronary grafts by CT is crucial for the successful surgical management of Stanford Type A aortic dissection developing after CABG.
（ OPCAB ） in December, 2017. He underwent an abdominal aortic aneurysm resection and graft replacement in April, 2018. The postoperative computed tomography （ CT ） that was performed in May 2018 revealed aortic dissection from the ascending aorta to the aortic arch, although he was asymptomatic. We evaluated the native coronary artery and patent bypass grafts by coronary CT. Graft replacement of the ascending aorta and partial aortic arch was carried out on an elective basis and the proximal anastomotic site of the vein grafts was attached to the prosthetic graft. Stanford type A aortic dissection （ AAD ） after previous coronary artery bypass grafting differs from spontaneous AAD in presentation, management and outcome. We report here a successful surgical case with RAA and AAD after OPCAB. Jpn. J. Cardiovasc. Surg. 48 : 267 - 271 （ 2019
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Sakamoto et al. (2019) conducted a case report in Asymptomatic Stanford Type A Aortic Dissection with Right-Sided Aortic Arch (n=1). Graft replacement of the ascending aorta and partial aortic arch was evaluated on Surgical outcome. Graft replacement of the ascending aorta and partial aortic arch was successfully performed in a patient with asymptomatic Stanford type A aortic dissection and right-sided aortic arch after OPCAB.
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