Aortic dissection complicating cardiac surgery in a patient with calcified ascending aorta.

被引：0

作者：

Sakakibara Y. ^{[1
]}

Matsuda K. ^{[1
]}

Sato F. ^{[1
]}

Matsuzaki K. ^{[1
]}

Jikuya T. ^{[1
]}

Mitsui T. ^{[1
]}

机构：

[1] Department of Surgery, University of Tsukuba, Ibaraki

来源：

The Japanese Journal of Thoracic and Cardiovascular Surgery | 1999年 / 47卷 / 12期

关键词：

intraoperative aortic dissection; calcified ascending aorta; transesophageal echocardiography; coronary artery bypass grafting; mitral valve replacement;

D O I：

10.1007/BF03218076

中图分类号：

学科分类号：

摘要：

Aortic dissection is a rare but devastating complication of cardiac surgery. Adequate and early diagnosis of intraoperative aortic dissection and quick therapeutic decision making are the keys for saving patients in such cases. We describe the case of a 68-year-old man referred for CABG and mitral valve replacement with severe calcification of the ascending aorta. Intra-operative transesophageal echocardiography was useful for diagnosis of intra-operative aortic dissection and malperfusion of the true lumen. Immediate switching of the arterial perfusion site established flow in the true lumen with prompt subsidence of the expanded false lumen. CABG, mitral valve replacement and graft replacement of the ascending aorta could be simultaneously performed in this patient.

引用

页码：625 / 628

页数：3

共 34 条

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