Key result
Intraoperative aortic dissection is a rare but fatal complication of open heart surgery that requires prompt diagnosis with transesophageal echocardiography and immediate surgical repair.
Intraoperative aortic dissection is a rare but fatal complication of open heart surgery that requires prompt diagnosis with TEE or epiaortic scanning and immediate surgical repair to reduce mortality.
Immediate TEE readiness is warranted in cardiac ORs; leaves open optimal prevention strategies in prospective data.
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.
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Singh et al. (2015) conducted a review in Intraoperative aortic dissection. Transesophageal echocardiography and surgical repair was evaluated. Intraoperative aortic dissection is a rare but fatal complication of open heart surgery that requires prompt diagnosis with transesophageal echocardiography and immediate surgical repair.
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