title: Delayed ascending aortic dissection following off-pump coronary bypass surgery in preexisting stanford B dissection.
abstract: 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.
authors: Division of Cardiothoracic Surgery, Universiti Kebangsaaan Malaysia Medical Centre, Kuala Lumpur, Malaysia. ramzisham@hotmail.com
authors: Mohd Ramzisham Abdul
authors: MR
authors: Rahman
authors: Joanna Ooi Su
authors: JO
authors: Min
authors: Mohd Zamrin
authors: MZ
authors: Dimon
mesh_terms: 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