Key result
Intraoperative descending aortic dissection during aortic root replacement is a rare but life-threatening complication with no clear guidelines regarding optimal management.
Case Report
Highlights the successful management of intraoperative descending aortic dissection during aortic root replacement, a rare but life-threatening complication with no clear existing guidelines.
Case report of successful repair supports individualized strategies; leaves open need for prospective data on optimal management.
Intraoperative aortic dissection is a very rare complication during surgical cardiac intervention with occurrence frequencies of 0.06–0.23% (1-3). However, when it does occur it is uniformly a life-threatening complication with high rates of morbidity and mortality (3-5). Despite the potentially catastrophic outcomes of intraoperative aortic dissection, no clear guidelines exist regarding optimal management.
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Gryaznov et al. (2018) conducted a case report in Intraoperative descending aortic dissection during aortic root replacement. Management of intraoperative descending aortic dissection was evaluated. Intraoperative descending aortic dissection during aortic root replacement is a rare but life-threatening complication with no clear guidelines regarding optimal management.
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