Intraoperative aortic dissection.
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Date
2015-10
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Abstract
Intraoperative aortic dissection is a rare but fatal complication of open heart surgery. By recognizing the
population at risk and by using a gentle operative technique in such patients, the surgeon can usually avoid
iatrogenic injury to the aorta. Intraoperative transesophageal echocardiography and epiaortic scanning are
invaluable for prompt diagnosis and determination of the extent of the injury. Prevention lies in the strict
control of blood pressure during cannulation/decannulation, construction of proximal anastomosis, or in
avoiding manipulation of the aorta in high‑risk patients. Immediate repair using interposition graft or Dacron
patch graft is warranted to reduce the high mortality associated with this complication.
Description
Keywords
Cardiac surgery, Iatrogenic, Intraoperative aortic dissection
Citation
Singh Ajmer, Mehta Yatin. Intraoperative aortic dissection. Annals of Cardiac Anaesthesia. 2015 Oct; 18(4): 537-542.