Perioperative dissection of the ascending aorta: types of repair.
Iatrogenic aortic injury occurring during either coronary bypass grafting or valve replacement is a well-recognized complication of cardiac surgery. We retrospectively reviewed our experience and found 11 cases occurring in a case load of 8,945 hearts (incidence of 0.12%). All 11 cases were repaired, with 10 patients surviving. The type of repair used usually was determined by when the diagnosis was made. When an intraoperative diagnosis was made, a local repair was done in four of six cases. If a postoperative diagnosis was made, then all five patients needed the ascending aorta replaced. With early diagnosis and rapid repair, good surgical results can be achieved.
Blakeman
B M
BM
Department of Thoracic and Cardiovascular Surgery, Loyola University Medical Center, Maywood, Illinois 60153.
Pifarré
R
R
Sullivan
H J
HJ
Montoya
A
A
Bakhos
M
M
Grieco
J G
JG
Foy
B K
BK
D000046:Academic Medical Centers; D000368:Aged; D000784:Aortic Dissection / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*; D001014:Aortic Aneurysm / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000145:classification / Q000379:methods* / Q000401:mortality; D005260:Female; D006801:Humans; D007087:Illinois / Q000453:epidemiology; D015994:Incidence; D007431:Intraoperative Complications / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015996:Survival Rate