Key result
A 70-year-old patient developed an acute aortic dissection with immediate paraplegia 7 days after undergoing off-pump coronary artery surgery.
Case Report (n=1)
Highlights the rare but severe complication of iatrogenic aortic dissection following off-pump coronary surgery, potentially related to lateral aortic clamping.
Raises awareness for delayed aortic dissection risk after off-pump CABG; hypothesis-generating for clamping-related causation.
Iatrogenic aortic dissection has been described, albeit infrequently, after coronary artery surgery performed under cardiopulmonary bypass. Since the advent of beating heart coronary surgery, several authors have described an apparent increase of this complication related to the application of a lateral clamp on the ascending aorta to perform the proximal anastomosis. We describe the case of a 70 years old patient who presented aortic dissection, with immediate paraplegia, 7 days after off-pump coronary surgery.
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Jean-Marie De Smet (2003) conducted a case report in Aortic dissection after off-pump coronary surgery (n=1). Off-pump coronary surgery was evaluated on Aortic dissection with immediate paraplegia. A 70-year-old patient developed an acute aortic dissection with immediate paraplegia 7 days after undergoing off-pump coronary artery surgery.
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