Aortic posterior wall perforation with automatic aortic cutter during routine off-pump coronary bypass grafting

Thomas Syburra, Oliver Reuthebuch, Kirk Graves, Michele Genoni
2009 Interactive Cardiovascular and Thoracic Surgery  
Aortic complications are very rare during off-pump coronary artery bypass grafting (OPCAB). When they occur, the mortality is high. We report a case of perforation of the posterior aortic wall after punching out the hole in the ascending aorta with an automatic aortic cutter to avoid clamping for the proximal anastomosis during a routine OPCAB procedure. The consequence was a massive hemorrhage, emergency conversion to cardiopulmonary bypass and replacement of the aortic valve and of the ascending aorta.
doi:10.1510/icvts.2009.211078 pmid:19692438 fatcat:7eibwqhjuveudnghcg5q7fecda