Ascending aortic dissection after proximal bypass anastomotic device.
Ascending aortic dissection is a known complication of cardiac surgery. Different type of devices allowing performance of proximal bypass anastomoses without aortic side-clamping are supposed to reduce the risk for aortic dissection. We report a case in which ascending aortic dissection occurred six months after off-pump coronary artery bypass surgery, with the entry tear arising directly from a proximal anastomosis performed with the Heartstring hemostatic seal system.
Weber
Alberto
A
Department for Cardiovascular Surgery, University Hospital, Zurich, Switzerland. alberto.weber@usz.ch
Tavakoli
Reza
R
Genoni
Michele
M
D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D001011:Aorta / Q000000981:diagnostic imaging / Q000473:pathology*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D047549:Coronary Artery Bypass, Off-Pump / Q000009:adverse effects*; D006487:Hemostasis; D006801:Humans; D008297:Male; D012307:Risk Factors; D014463:Ultrasonography