VD03 AN INTERESTING COMPLICATION FROM BROOKLYN

We present a 68 years-old lady with ascending aortic pseudoaneurysm discovered by CT-angio 11 years after CABG in the States. Three out of 4 grafts were patent. Once the aorta was opened we found a localised chronic dissection likely originating from previous aortic cannulation site. In this video we show chest reopening, aneurysm isolation and cannulation in the arch and right atrium. Aortic clamp was applied high, aneurysm was opened and the dissected aorta resected, keeping 4 top-ends attached to the aortic wall as an island. Cardioplegia was given into aortic root and selectively into venous grafts. An interposition 26 mm vascular conduit was anastomosed to sino-tubular junction and distal ascending aorta. After unclamping, the island containing top-ends was reattached to vascular conduit by 10 mm interposition graft.