CASE REPORTS  CARDIAC PAPERS 

The Journal of Cardiovascular Surgery 2000 April;41(2):251-3

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

The diagnosis and management of aortic dissection occurring years after open heart surgery

John R., Beniaminovitz A. *, Artrip J. H., Rabbani L. **, Michler R. E. ***

From the Division of Cardiothoracic Surgery *Circulatory Physiology and **Cardiology Columbia Presbyterian Medical Center, New York, USA ***Division of Cardiothoracic Surgery Ohio State University, Columbus, Ohio, USA

Aortic dis­sec­tion occur­ring ­after ­open ­heart sur­gery is an uncom­mon but ­well rec­og­nized com­pli­ca­tion. Unfortunately, it is asso­ciat­ed ­with a ­high mor­bid­ity and mor­tal­ity. Pre-exist­ing aor­tic ­wall pathol­o­gy, intra­op­er­a­tive aor­tic manip­u­la­tions and hyper­ten­sion are ­known to pre­dis­pose to the devel­op­ment of ­this con­di­tion. We ­report a ­case of aor­tic dis­sec­tion occur­ring 2 ­years ­after cor­o­nary ­artery ­bypass sur­gery and com­pli­cat­ed by ­acute saph­e­nous ­vein ­graft occlu­sion and ­severe ­mitral insuf­fi­cien­cy. We ­review the diag­no­sis and man­age­ment of ­this com­pli­ca­tion.