Perigraft seroma is a rare but important complication after aortic surgery. Clinical vigilance is required to differentiate this collection from more serious conditions that warrant surgical intervention. We present the case of a 25-year-old man with Marfan syndrome in whom a large symptomatic aortic arch perigraft seroma developed after a fourth redo cardiac surgery for completion total arch replacement. Eighteen months after explorative mediastinotomy, he remains well with no recurrence of the collection.
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http://dx.doi.org/10.1016/j.atssr.2023.03.019 | DOI Listing |
Ann Thorac Surg Short Rep
December 2024
Department of Cardiovascular Surgery, Teine Keijinkai Hospital, Sapporo, Japan.
We report on a successful thoracic endovascular aortic repair for perigraft seroma (PGS) after ascending aorta replacement (AAR). An 82-year-old man underwent AAR. Two years after the operation, computed tomography showed a 75-mm PGS around the ascending aorta.
View Article and Find Full Text PDFInterdiscip Cardiovasc Thorac Surg
September 2023
Department of Cardiovascular Surgery, Shinmatsudo Central General Hospital, Matsudo, Japan.
Objectives: We investigated pertinent factors associated with mediastinal perigraft seroma (PGS) after thoracic aortic surgery. In addition, we provided a clinical review of this entity, as reports reviewing abundant mediastinal PGS cases are rare.
Methods: Eighty-two patients who underwent either ascending aortic replacement or aortic arch replacement between 2016 and 2022 in our institution were enrolled in the present study.
Gen Thorac Cardiovasc Surg Cases
August 2023
Department of Cardiovascular Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoin-Kawaharacho, Sakyo-Ku, Kyoto, 606-8507, Japan.
Background: A secondary aortoenteric fistula after an aortic graft replacement or endovascular aortic repair is a rare but devastating complication that leads to extremely high morbidity and mortality. Because reports of vascular graft infection with enteric fistulization complicating in a hybrid aortic repair with renovisceral debranching are limited, the management method such as the extent of removal of the infected graft, reconstruction procedures, and the ideal type of graft are still debatable.
Case Presentation: We report a successful case of a 73-year-old man presenting a vascular graft infection with duodenal fistulization, 10 years after hybrid endovascular aortic repair with renovisceral debranching for a 60-mm diameter of supra-renal abdominal aortic aneurysm.
Ann Thorac Surg Short Rep
September 2023
Department of Cardiothoracic Surgery, Wellington Regional Hospital, Wellington, New Zealand.
Perigraft seroma is a rare but important complication after aortic surgery. Clinical vigilance is required to differentiate this collection from more serious conditions that warrant surgical intervention. We present the case of a 25-year-old man with Marfan syndrome in whom a large symptomatic aortic arch perigraft seroma developed after a fourth redo cardiac surgery for completion total arch replacement.
View Article and Find Full Text PDFGen Thorac Cardiovasc Surg Cases
March 2023
Department of Cardiovascular Surgery, Japan Organization of Occupational Health and Safety, Osaka Rosai Hospital, Sakai, Osaka, 591-8025, Japan.
Background: Subcutaneous extension of a perigraft seroma following thoracic aortic surgery is an infrequently encountered complication. For treatment, it is necessary to first exclude the possibility of perigraft fluid collection secondary to infection, a pseudoaneurysm, or impending rupture. However, it is difficult to diagnose collected fluid as indicative of a perigraft seroma, and there is also no standardized treatment for this condition.
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