[Acute aortic dissection complicating coronary artery bypass surgery].
We experienced a patient in whom acute ascending aortic dissection appeared to develop at the site of injection of the cardioplegic solution during coronary artery bypass surgery. The patient was a woman aged 70, who was demonstrated to have calcification of the posterior wall of the ascending aorta by preoperative CT scanning. When dissection developed at the cardioplegia injection site after removal of the aortic cross clamp, the aorta was transected and teflon felt was applied to the aorta internally and externally before end-to-end anastomosis was performed. Postoperative CT scanning revealed closure of the dissecting lumen, and the patient was discharged from hospital on the 33rd postoperative day.
Yamamoto
S
S
Department of Cardiology, Toranomon Hospital.
Fuse
K
K
Naruse
Y
Y
Watanabe
Y
Y
Kobayashi
T
T
Konishi
H
H
Horii
Y
Y
D000368:Aged; D000714:Anastomosis, Surgical; D001011:Aorta / Q000293:injuries* / Q000601:surgery; D002314:Cardioplegic Solutions / Q000008:administration & dosage; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000601:surgery; D005260:Female; D006801:Humans; D007269:Injections, Intra-Arterial / Q000009:adverse effects; D007431:Intraoperative Complications / Q000601:surgery*
D002314:Cardioplegic Solutions