Management of intraoperative aortic dissection with a direct cannulation on the intimal flap.
We report a case of severe aortic stenosis in which intraoperative aortic dissection developed from aortic cross-clamp. The patient showed symptoms of malperfusion, but was successfully managed by direct inflow cannulation on the intimal flap into the true lumen. She then recovered well without further incident.
Mizutani
Shinichi
S
Department of Cardio-Thoracic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, Japan. smizutan@med.nagoya-u.ac.jp
Usui
Akihiko
A
Akita
Toshiaki
T
Ueda
Yuichi
Y