Two consecutive cases of iatrogenic aortic dissection complicating coronary artery bypass surgery were successfully repaired by interposition graft replacement of the ascending aorta. Both patients had an uncomplicated postoperative recovery. Follow-up imaging showed no residual abnormality. Prompt recognition and repair are essential elements in the management of this potentially lethal complication.
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References
1.
MurphyDACraverJMJonesELBoneDKGuytonRAHatcherCRJr.Recognition and management of ascending aortic dissection complicating cardiac surgical operations. J Thorac Cardiovasc Surg1983; 85: 247–56.
2.
StillRJHilgenbergADAkinsCWDaggettWMBuckleyMJ. Intraoperative aortic dissection. Ann Thorac Surg1992; 53: 374–80.
3.
SabriMNHenryDWechslerASDiSciascoGVetrovecGW. Late complications involving the ascending aorta after cardiac surgery: recognition and management. Am Heart J1991; 121: 1779–83.
4.
PappasDHinesGLGennaroMHartmanA. Delayed iatrogenic aortic dissection from coronary bypass managed with extraanatomic bypass. J Thorac Cardiovasc Surg1998; 115: 947–9.
5.
AnagnostopoulosCEPrabhakarMJSKittleCF. Aortic dissections and dissecting aneurysms. Am J Cardiol1972; 30: 263–73.
6.
SvenssonLGCrawfordESHessKRCoselliJSSafiHJ. Dissection of the aorta and dissecting aortic aneurysms: improving early and long-term surgical results. Circulation1990; 82 (Suppl IV): 24–38.
7.
AndersenCJoyceFSTingleffJArendrupH. Aortic dissection after cardiopulmonary bypass detected by intraoperative transesophageal echocardiography. Acta Anaes Scand1997; 41: 1227–8.
8.
LytleBWMcCarthyPMMeaneyKMStewartRWCosgroveDMIII. Systemic hypothermia and circulatory arrest combined with arterial perfusion of the superior vena cava. Effective intraoperative cerebral protection. J Thorac Cardiovasc Surg1995; 109: 738–43.
