Delayed ascending aortic dissection following off-pump coronary bypass surgery in preexisting stanford B dissection.
Delayed ascending aortic dissection following coronary artery bypass surgery is a rare but lethal complication. We present the case of a 54-year-old man with a delayed acute Stanford A aortic dissection following an off-pump coronary artery bypass surgery in preexisting chronic type B disease. Such a case of an iatrogenic acute aortic dissection poses a significant challenge and dilemma in choosing the best technique for coronary revascularization in this group of patients. The pathophysiology and technical options are discussed.
Rahman
Mohd Ramzisham Abdul
MR
Division of Cardiothoracic Surgery, Universiti Kebangsaaan Malaysia Medical Centre, Kuala Lumpur, Malaysia. ramzisham@hotmail.com
Min
Joanna Ooi Su
JO
Dimon
Mohd Zamrin
MZ
D000784:Aortic Dissection / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D000789:Angina, Unstable / Q000150:complications; D001011:Aorta; D001014:Aortic Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001027:Aortography; D016122:Brachiocephalic Trunk / Q000000981:diagnostic imaging; D017536:Carotid Artery, Common / Q000000981:diagnostic imaging; D047549:Coronary Artery Bypass, Off-Pump / Q000009:adverse effects* / Q000379:methods; D017809:Fatal Outcome; D006801:Humans; D006973:Hypertension / Q000150:complications; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012501:Saphenous Vein / Q000637:transplantation; D013997:Time Factors; D014057:Tomography, X-Ray Computed