Intrapericardial Rupture Aneurysm of Sinus of Valsalva Managed Successfully with Emergency Aortic Root Replacement and Coronary Artery Bypass Grafting—a Case Report

Nakajima, Tomohiro; Iba, Yutaka; Shibata, Tsuyoshi; Kawaharada, Nobuyoshi

doi:10.1007/s12262-023-03722-2

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2024

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“…The choice between on-pump, off-pump, and on-pump beating CABG in CPA patients is influenced by several factors [ 6 ]. On-pump surgery allows for better control and manipulation and provides optimal visualization of coronary targets as described in our case.…”

Section: Discussionmentioning

confidence: 99%

Congenital Absence of Pericardium: A Case Report and Technical Considerations in Cardiac Surgery

Balaji,

Makam,

Hussein

et al. 2024

Cureus

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This case report describes a rare instance of left-sided congenital pericardial agenesis (CPA) encountered during coronary artery bypass grafting (CABG) in a 77-year-old male. In this unique case, the presence of an unusual strip of left pericardium containing the phrenic nerve posed significant surgical challenges. Special attention was required for the graft lay, ensuring adequate filling of the heart during assessment before closure, as well as emphasis on the need for generous graft length. Additionally, the evaluation of graft positioning prior to cardiopulmonary bypass was crucial. Despite these complexities, CABG was successfully performed with no complications to note. This case underscores the importance of adaptability in surgical technique to manage the unique challenges posed by CPA, leading to a positive outcome despite the atypical cardiac anatomy.

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Section: Discussionmentioning

confidence: 99%