Iatrogenic acute aortic dissection in a patient with Marfan syndrome: unusual site of intimal tear.
Iatrogenic acute aortic dissection is a rare, but well-known, potentially lethal complication following cardiac surgery. Iatrogenic acute aortic dissection in Marfan syndrome patients with normal aortic parameters has not been well studied. The location of the intimal tear, along the lesser curvature of the arch, poses the question if more attention should be given to this subgroup of patients. Due to their underlying aortic pathology and the nature of cardiac surgery, patients with Marfan syndrome will continue to be at greater risk than the average population.
Kumar
Kanwal
K
Section of Cardiac Surgery, University of Manitoba, Cardiac Sciences Program, St. Boniface General Hospital, Manitoba, Canada. kennykumar@shaw.ca
Menkis
Alan H
AH
Jassal
Davinder S
DS
Arora
Rakesh C
RC
D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001027:Aortography / Q000379:methods; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D003324:Coronary Artery Disease / Q000150:complications / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008382:Marfan Syndrome / Q000150:complications*; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000601:surgery*; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome