title: Iatrogenic aortic dissection after minimally invasive aortic valve replacement: a case report.
abstract: BACKGROUND
  As minimally invasive cardiac and vascular procedures are on the rise, the incidence of iatrogenic acute aortic dissection (IAAD) will increase. Cardiovascular professionals should be aware about the risk factors, means of prevention and best management options for IAAD in the perioperative setting.
  
  
  METHODS
  We present the successful clinical management of a complicated case of IAAD after minimally invasive aortic valve replacement.
  
  
  CONCLUSIONS
  High index of suspicion is required for prompt diagnosis of IAAD; collaboration of the whole perioperative team is imperative for management of this catastrophe.
authors.affiliation: Department of Anesthesiology, The Ohio State University, Wexner Medical Center, N411 Doan Hall, 410 West 10th Avenue, Columbus, OH, 43210, USA.
authors.forename: Mohamed Ehab
authors.initials: ME
authors.lastname: Ramadan
authors.affiliation: Department of Otolaryngology - Head & Neck Surgery, The Ohio State University, Wexner Medical Center, Columbus, OH, USA.
authors.forename: Lamia
authors.initials: L
authors.lastname: Buohliqah
authors.affiliation: Department of Surgery, Division of Cardiac Surgery, The Ohio State University, Wexner Medical Center, Columbus, OH, USA.
authors.forename: Juan
authors.initials: J
authors.lastname: Crestanello
authors.affiliation: Perfusion Services, The Ohio State University, Wexner Medical Center, Columbus, OH, USA.
authors.forename: James
authors.initials: J
authors.lastname: Ralston
authors.affiliation: Perfusion Services, The Ohio State University, Wexner Medical Center, Columbus, OH, USA.
authors.forename: David
authors.initials: D
authors.lastname: Igoe
authors.affiliation: Department of Anesthesiology, The Ohio State University, Wexner Medical Center, N411 Doan Hall, 410 West 10th Avenue, Columbus, OH, 43210, USA. Hamdy.Elsayed-awad@osumc.edu.
authors.forename: Hamdy
authors.initials: H
authors.lastname: Awad
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001021:Aortic Valve / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000601:surgery*; D006328:Cardiac Catheterization / Q000009:adverse effects*; D002315:Cardiopulmonary Bypass; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D007049:Iatrogenic Disease
keywords: AVR; Case Report; Iatrogenic aortic dissection; PCI; TAVR; TEVAR