Diagnosis of an intraoperative aortic dissection by transesophageal echocardiography during routine coronary artery bypass grafting surgery.
Acute aortic dissection during coronary artery bypass grafting (CABG), though rare, causes significant morbidity and mortality. We report a case of postcardiopulmonary bypass aortic dissection in a 73-yr-old man who presented for CABG. The diagnosis was made by transesophageal echocardiography and allowed immediate treatment of the potentially lethal complication.


CONCLUSIONS
Acute aortic dissection during coronary artery bypass grafting (CABG), though rare causes frequent morbidity and mortality. We report a case of postcardiopulmonary bypass aortic dissection in a 73-yr-old man who presented for CABG. Diagnosis made by transesophageal echocardiography allowed immediate treatment of the potentially lethal complication.
Cottrell
Dominic J
DJ
Departments of Anesthesiology and Cardiothoracic Surgery, Wake Forest University School of Medicine, Winston-Salem, North Carolina.
Cornett
E Stuart
ES
Seifer
Marc S
MS
Kincaid
Edward H
EH
Zvara
David A
DA
D000368:Aged; D001011:Aorta / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D017548:Echocardiography, Transesophageal; D006801:Humans; D007431:Intraoperative Complications / Q000000981:diagnostic imaging* / Q000628:therapy; D008297:Male