title: Ascending aortic dissection after proximal bypass anastomotic device.
abstract: 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.
authors.affiliation: Department for Cardiovascular Surgery, University Hospital, Zurich, Switzerland. alberto.weber@usz.ch
authors.forename: Alberto
authors.initials: A
authors.lastname: Weber
authors.forename: Reza
authors.initials: R
authors.lastname: Tavakoli
authors.forename: Michele
authors.initials: M
authors.lastname: Genoni
mesh_terms: 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