Key result
Prompt diagnosis by transesophageal echocardiography and multidisciplinary management, including peripheral cannulation and postoperative ECMO, led to the successful recovery of a patient who developed iatrogenic acute aortic dissection during minimally invasive aortic valve replacement.
Case Report (n=1)
No
This case demonstrates that prompt diagnosis and multidisciplinary management, including VA ECMO, can salvage patients experiencing catastrophic iatrogenic acute aortic dissection during minimally invasive cardiac surgery.
Hypothesis-generating for TEE and ECMO protocols in iatrogenic dissection; prospective studies needed before adoption in minimally invasive AVR.
BACKGROUND: As minimally invasive cardiac and vascular procedures are on the rise, the incidence of iatrogenic acute aortic dissection (IAAD) will increase. Cardiovascular professionals should be aware about the risk factors, means of prevention and best management options for IAAD in the perioperative setting. CASE PRESENTATION: We present the successful clinical management of a complicated case of IAAD after minimally invasive aortic valve replacement. CONCLUSION: High index of suspicion is required for prompt diagnosis of IAAD; collaboration of the whole perioperative team is imperative for management of this catastrophe.
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Ramadan et al. (2016) conducted a case report in Iatrogenic acute aortic dissection (n=1). Minimally invasive aortic valve replacement was evaluated on Clinical outcome (survival and recovery). Prompt diagnosis by transesophageal echocardiography and multidisciplinary management, including peripheral cannulation and postoperative ECMO, led to the successful recovery of a patient who developed iatrogenic acute aortic dissection during minimally invasive aortic valve replacement.
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