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THE JOURNAL OF CARDIOVASCULAR SURGERY
A Journal on Cardiac, Vascular and Thoracic Surgery
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632
CASE REPORTS CARDIAC PAPERS
The Journal of Cardiovascular Surgery 2000 February;41(1):61-3
Successful conservative surgery of acute ascending aortic dissection occurring during coronary angiography
Leclercq F., Albat B. *, Messner-Pellenc P., Hager F.-X., Mariottini C.-J., Macia J.-C., Gagnol J.-P., Grolleau-Raoux R.
From the Cardiologie A
*Chirurgie Thoracique et Cardiovasculaire Hôpital Arnaud de Villeneuve, CHU Montpellier, France
We reported the case of an acute aortic dissection complicating right guiding catheter manipulation during engagement in the right coronary ostium. Despite absence of hemodynamic deterioration, dissection progressed rapidly from the sinus of Valsalva to the ascending aorta along its entire length. At surgery, performed in emergency, the aorta was not dilated and the aortic wall did not appear pathologic. Therefore conservative surgery was performed, consisting of suture of the aortic tear and incollage of the false lumen, with good immediate and mid-term results.