Singh, AjmerMehta, Yatin2015-11-072015-11-072015-10Singh Ajmer, Mehta Yatin. Intraoperative aortic dissection. Annals of Cardiac Anaesthesia. 2015 Oct; 18(4): 537-542.http://imsear.searo.who.int/handle/123456789/165263Intraoperative 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.enCardiac surgeryIatrogenicIntraoperative aortic dissectionArticle