Key result
Cardiac surgery in a patient with Marfan syndrome resulted in an iatrogenic acute aortic dissection with an unusual intimal tear along the lesser curvature of the arch.
Case Report (n=1)
Highlights the risk and unusual presentation of iatrogenic acute aortic dissection in Marfan syndrome patients undergoing cardiac surgery, even when aortic parameters are normal.
Alerts clinicians to atypical iatrogenic dissection in Marfan patients; extends anatomic descriptions but leaves open preventive strategies.
Iatrogenic acute aortic dissection is a rare, but well-known, potentially lethal complication following cardiac surgery. Iatrogenic acute aortic dissection in Marfan syndrome patients with normal aortic parameters has not been well studied. The location of the intimal tear, along the lesser curvature of the arch, poses the question if more attention should be given to this subgroup of patients. Due to their underlying aortic pathology and the nature of cardiac surgery, patients with Marfan syndrome will continue to be at greater risk than the average population.
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Kumar et al. (2008) conducted a case report in Marfan syndrome, iatrogenic acute aortic dissection (n=1). Cardiac surgery was evaluated on Iatrogenic acute aortic dissection. Cardiac surgery in a patient with Marfan syndrome resulted in an iatrogenic acute aortic dissection with an unusual intimal tear along the lesser curvature of the arch.
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