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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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The Journal of Cardiovascular Surgery 2000 February;41(1):61-3

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

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


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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.

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