Kinked coronary saphenous vein graft after aortic dissection surgery: An unusual differential diagnosis of cardiac tamponade

Vein graft stenosis

Authors

  • Kaushalendra Rathore, F.R.A.C.S Department of Cardiothoracic Surgery, Sir Charles Gairdner Hospital, Hospital Avenue, Nedlands WA 6009 Australia.
  • Mark Teh, M.D. Department of Radiology, Perth Radiology Clinic, Perth WA 6000 Australia.
  • Mark Newman, F.R.A.C.S. Department of Cardiothoracic Surgery, Sir Charles Gairdner Hospital, Hospital Avenue, Nedlands WA 6009 Australia. https://orcid.org/0000-0001-8514-2144

DOI:

https://doi.org/10.46475/aseanjr.v22i2.118

Keywords:

Angina, Shock, Coronary Artery Disease

Abstract

A 73-year-old female patient presented with cardiac tamponade following Stanford type A aortic dissection required immediate pericardiocentesis and followed by root replacement with coronary artery bypass grafting. The patient's postoperative course was eventful and coronary graft kinking contributed to myocardial ischemia, but the presentation was confused with cardiac tamponade.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Author Biography

Mark Newman, F.R.A.C.S., Department of Cardiothoracic Surgery, Sir Charles Gairdner Hospital, Hospital Avenue, Nedlands WA 6009 Australia.

Department of Cardiothoracic Surgery

References

Mookhoek A, Korteland NM, Arabkhani B, Di Centa I, Lansac E, Bekkers JA, et al. Bentall procedure: a systematic review and meta-analysis. Ann Thorac Surg 2016;101:1684–9. doi: 10.1016/j.athoracsur.2015.10.090.

Helder MRK, Schaff HV, Day CN, Pochettino A, Bagameri G, Greason KL, et al. Regional and temporal trends in the outcomes of repairs for acute type a aortic dissections. Ann Thorac Surg 2020;109:26-35. doi: 10.1016/j.athoracsur.2019.06.058.

Neri E, Toscano T, Papalia U, Frati G, Massetti M, Capannini G, et al. Proximal aortic dissection with coronary malperfusion: presentation, management, and outcome. J Thorac Cardiovasc Surg 2001;121:552–60. doi: 10.1067/mtc.2001.112534.

Tribble C. To know acute aortic dissection is to know all of cardiovascular surgery. Semin Thoracic Surg 2017; 29:186–7. doi: 10.1053/j.semtcvs.2017.01.014.

Adamson C, Rocchiccioli P, Brogan R, Berry C, Ford TJ. Post-operative myocardial infarction following aortic root surgery with coronary reimplantation: a case series treated with percutaneous coronary intervention. Eur Heart J Case Rep 2019; 3:1-6. doi: 10.1093/ehjcr/ytz181

Post-operative contrast CT scan: volume rendered image showing coronary stents in the SVG.

Downloads

Published

2021-08-25

How to Cite

1.
Rathore kaushalendra, Teh M, Newman M. Kinked coronary saphenous vein graft after aortic dissection surgery: An unusual differential diagnosis of cardiac tamponade: Vein graft stenosis. ASEAN J Radiol [Internet]. 2021Aug.25 [cited 2021Nov.29];22(2):21-8. Available from: https://asean-journal-radiology.org/index.php/ajr/article/view/118

Issue

Section

Case Report