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Perioperative Dissection of the Ascending Aorta: Types of Repair
Author(s) -
BLAKEMAN BRADFORD M.,
PIFARRÉ ROQUE,
SULLIVAN HENRY J.,
MONTOYA ALVARO,
BAKHOS MAMDOUH,
GRIECO JOHN G.,
FOY BRYAN K.
Publication year - 1988
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.1988.tb00212.x
Subject(s) - medicine , ascending aorta , surgery , perioperative , complication , aorta , dissection (medical) , bypass grafting , incidence (geometry) , aortic dissection , artery , physics , optics
A bstract Iatrogenic aortic injury occurring during either coronary bypass grafting or valve replacement is a well‐recognized complication of cardiac surgery. We retrospectively reviewed our experience and found 11 cases occurring in a case load of 8,945 hearts (incidence of 0.12%). All 11 cases were repaired, with 10 patients surviving. The type of repair used usually was determined by when the diagnosis was made. When an intraoperative diagnosis was made, a local repair was done in four of six cases. If a postoperative diagnosis was made, then all five patients needed the ascending aorta replaced. With early diagnosis and rapid repair, good surgical results can be achieved.