Successful repair of iatrogenic acute aortic dissection with cerebral malperfusion.
We describe the successful treatment of a patient with iatrogenic acute aortic dissection including cerebral malperfusion as a complication of coronary artery surgery. After beginning cardiopulmonary bypass, a retrograde ascending aortic dissection associated with cerebral malperfusion was recognized. Systemic circulation was immediately arrested at 31 degrees C. After aortotomy, hypothermic selective antegrade cerebral perfusion was established. Replacement of the ascending aorta with coronary artery bypass grafting was performed without neurologic complications.
Türköz
Riza
R
Department of Cardiovascular Surgery, Adana Teaching and Medical Research Center, Baskent University, Adana, Turkey. rturkoz@yahoo.com
Gulcan
Oner
O
Oguzkurt
Levent
L
Caliskan
Esra
E
Turkoz
Ayda
A
D000208:Acute Disease; D000368:Aged; D000784:Aortic Dissection / Q000209:etiology / Q000601:surgery*; D000789:Angina, Unstable / Q000150:complications / Q000601:surgery*; D001011:Aorta / Q000293:injuries* / Q000601:surgery; D001014:Aortic Aneurysm / Q000209:etiology / Q000601:surgery*; D001018:Aortic Diseases / Q000150:complications / Q000601:surgery; D050197:Atherosclerosis / Q000150:complications / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D001925:Brain Damage, Chronic / Q000517:prevention & control; D002545:Brain Ischemia / Q000209:etiology* / Q000628:therapy; D006332:Cardiomegaly / Q000150:complications; D002315:Cardiopulmonary Bypass / Q000009:adverse effects*; D016893:Carotid Stenosis / Q000150:complications / Q000601:surgery; D002404:Catheterization; D050792:Circulatory Arrest, Deep Hypothermia Induced; D047549:Coronary Artery Bypass, Off-Pump; D016894:Endarterectomy, Carotid; D005260:Female; D005263:Femoral Artery / Q000293:injuries / Q000601:surgery; D006324:Heart Arrest, Induced; D006801:Humans; D006973:Hypertension / Q000150:complications; D007049:Iatrogenic Disease; D007431:Intraoperative Complications / Q000209:etiology* / Q000628:therapy; D010477:Perfusion; D011183:Postoperative Complications / Q000517:prevention & control