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Iranian Heart Journal، جلد ۱۸، شماره ۲، صفحات ۵۳-۵۷
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عنوان انگلیسی Surgical Management of Infectious Pseudoaneurysm of the Ascending Aorta Post Coronary Artery Bypass Grafting: A Rare Clinical Condition
چکیده انگلیسی مقاله Background: Although an extremely rare clinical condition, the pseudoaneurysm of a saphenous vein graft the ascending aorta may occur several months following coronary artery bypass graft surgery. Methods: This paper describes a 48-year-old male patient with a history of addiction, who underwent coronary artery bypass graft surgery. The patient was referred to the emergency department 20 days after his surgery with a number of symptoms such as fever, weakness, tachycardia, tachypnea, zero Richmond Agitation Sedation Scale )RASS(, and low hemoglobin level. He was then admitted for a sepsis workup. A combined regimen of ciprofloxacin, vancomycin, and meropenem was prescribed after a positive Pseudomonas aeruginosa blood culture. Results: Computed tomography angiography showed a pseudoaneurysm in the upper and anterior mediastinum. Reoperation was planned for surgical removal, followed by right femoral arterial, venous cannulation and deep hypothermic circulatory arrest (18–20 °C), all of which yielded a favorable outcome. Conclusions: Rapid and accurate diagnosis and surgical correction are life-saving for pseudoaneurysms of the ascending aorta post coronary artery bypass graft surgery. (Iranian Heart Journal 2017; 18(2):53-57)
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نویسندگان مقاله Mohammad Abbasi Tashnizi |
Department of Cardiac Surgery, Faculty of Medicine, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, I.R. Iran.

Aliasghar Moeinipour |
Department of Cardiac Surgery, Faculty of Medicine, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, I.R. Iran.

Nahid Zirak |
Department of Anesthesiology, Faculty of Medicine, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad,I.R.Iran

Atefeh Ghorbanzadeh |
Faculty of Medicine, Mashhad University of MedicalSciences, Mashhad, I.R. Iran

Babak Manafi |
Faculty of Medicine, HamadanUniversity of Medical Sciences, I.R.Iran.

Mohammad Ali Roohi Golkhatmi |
Department of Cardiac Surgery, Faculty of Medicine, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, I.R.Iran.

Shima Sheybani |
Department of Anesthesiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad,I.R.Iran.

نشانی اینترنتی http://journal.iha.org.ir/article_83121_b977e7c1ccbe431bf8b9e56573634eae.pdf
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