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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.