title: [Acute type A aortic dissection, developed shortly after aortic valve replacement and coronary artery bypass grafting].
abstract: We experienced a case of acute type A aortic dissection shortly after a cardiac operation. A 73-year-old man underwent aortic valve replacement and coronary artery bypass grafting for aortic regurgitation and angina pectoris. Aortic valve was tricuspid and the ascending aorta was mildly dilated in preoperative studies. The postoperative computed tomography (CT) revealed aortic dissection, from the ascending aorta to the arch of aorta, although the patient was asymptomatic. Reoperation for the aortic dissection was performed on the 22nd post operative day. Re-do sternotomy was safely carried out prior to heparinization. Under hypothermic circulatory arrest with femoral arterial and venous cannulations, the ascending aorta was replaced and re-implantation of the saphenous vein graft was carried out. The postoperative recovery was uneventful and he was discharged on the 17th postoperative day.
authors.affiliation: Department of Cardiovascular Surgery, Shiga University of Medical Science, Otsu, Japan.
authors.forename: Osamu
authors.initials: O
authors.lastname: Nishimura
authors.forename: Tomoaki
authors.initials: T
authors.lastname: Suzuki
authors.forename: Soh
authors.initials: S
authors.lastname: Hosoba
authors.forename: Noriyuki
authors.initials: N
authors.lastname: Takashima
authors.forename: Norihiko
authors.initials: N
authors.lastname: Hiramatsu
authors.forename: Takeshi
authors.initials: T
authors.lastname: Kinoshita
authors.forename: Atsushi
authors.initials: A
authors.lastname: Kambara
authors.forename: Keiji
authors.initials: K
authors.lastname: Matsubayashi
authors.forename: Tohru
authors.initials: T
authors.lastname: Asai
mesh_terms: D000208:Acute Disease; D000368:Aged; D000784:Aortic Dissection / Q000209:etiology* / Q000601:surgery; D000787:Angina Pectoris / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000209:etiology* / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000601:surgery; D001026:Coronary Artery Bypass; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D012086:Reoperation