Key result
Ascending aortic replacement with a prosthetic graft successfully treated an acute ascending aortic dissection caused by cross-clamp injury during coronary artery bypass surgery, with the patient remaining stable at 2-year follow-up.
Why the study?
Early or late ascending aorta dissection is a very rare complication of coronary bypass surgery that can be life-threatening without successful surgical intervention.
Case Report (n=1)
No
Ascending aortic replacement can successfully treat rare but life-threatening iatrogenic aortic dissection following cross-clamp injury during coronary bypass surgery.
Cross-clamp aortic dissection remains a rare CABG risk; this case leaves incidence, prevention, and optimal repair strategies open.
Many complications may ensue coronary bypass surgery. Among these complications, early or late dissection of the ascending aorta is a very rare condition. Successful surgery without life-threatening results can save lives. In this case report, we present a case of aortic dissection due to cross-clamp injury in a patient who underwent coronary artery bypass surgery. A 60-year-old female patient underwent double-vessel aortocoronary bypass surgery due to coronary artery disease. After distal bypasses were performed and the cross-clamp was removed, dissection of the aorta occurred. Consequently, axillary cannulation and ascending aortic replacement with a prosthetic graft were performed via the open technique. The saphenous vein graft was sutured to the aortic prosthetic graft, and cardiopulmonary bypass was terminated after hemodynamic stability was achieved. The patient was discharged on the 10th postoperative day, and she has been followed up for 2 years after surgery without any problems. J Teh Univ Heart Ctr 2019;14(4):191-194 This paper should be cited as: Borulu F, Erkut B. Acute Dissection of the Ascending Aorta as a Rare Complication of Aortocoronary Bypasses Surgery: A Case Report. J Teh Univ Heart Ctr 2019;14(4):191-194.
No takes yet. Share an insight, caveat, or question.
Borulu et al. (2019) conducted a case report in Coronary artery disease and acute ascending aortic dissection (n=1). Ascending aortic replacement with a prosthetic graft was evaluated on Survival and hemodynamic stability. Ascending aortic replacement with a prosthetic graft successfully treated an acute ascending aortic dissection caused by cross-clamp injury during coronary artery bypass surgery, with the patient remaining stable at 2-year follow-up.
Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context: