Coronary Button Pseudoaneurysms After Aortic Root Replacement in a Child With Loeys-Deitz Syndrome Charles D. Fraser, MD, Xun Zhou, MD, Rui Han Liu,

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Coronary Button Pseudoaneurysms After Aortic Root Replacement in a Child With Loeys-Deitz Syndrome Charles D. Fraser, MD, Xun Zhou, MD, Rui Han Liu, BS, Cecillia Lui, MD, Duke E. Cameron, MD, Marshall L. Jacobs, MD, Luca A. Vricella, MD, Narutoshi Hibino, MD The Annals of Thoracic Surgery Volume 105, Issue 2, Pages e63-e65 (February 2018) DOI: 10.1016/j.athoracsur.2017.09.016 Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Preoperative and (B) postoperative computed tomography angiography images. The yellow arrows indicate the aneurysms noted at origin of the coronary arteries. The red arrows indicate the origin of the coronary arteries, revealing normal caliber vessels postoperatively after reimplantation and resection of the pseudoaneurysms. The Annals of Thoracic Surgery 2018 105, e63-e65DOI: (10.1016/j.athoracsur.2017.09.016) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Three-dimensional rendering of the preoperative computed tomography angiography. The red arrow indicates the coronary artery aneurysm as seen on preoperative imaging. The Annals of Thoracic Surgery 2018 105, e63-e65DOI: (10.1016/j.athoracsur.2017.09.016) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Intraoperative findings. (A) The operative view of the dilated left coronary orifice as seen within from the transected ascending aorta. The forceps on the left are within the pseudoaneurysm. (B) The blue arrow indicates the left coronary artery pseudoaneurysm at the site of the previous coronary button anastomosis. The Annals of Thoracic Surgery 2018 105, e63-e65DOI: (10.1016/j.athoracsur.2017.09.016) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions