Acute Dissection of the Ascending Aorta as a Rare Complication of Aortocoronary Bypasses Surgery: A Case Report

Many complications may ensue coronary bypass surgery. Among these complications, early or late dissection of the ascending aorta is a very rare condition. Successful surgery without life-threatening results can save lives. In this case report, we present a case of aortic dissection due to cross-clam...

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Main Authors: Ferhat Borulu, Bilgehan Erkut
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2019-10-01
Series:Journal of Tehran University Heart Center
Subjects:
Online Access:https://jthc.tums.ac.ir/index.php/jthc/article/view/1058
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author Ferhat Borulu
Bilgehan Erkut
author_facet Ferhat Borulu
Bilgehan Erkut
author_sort Ferhat Borulu
collection DOAJ
description Many complications may ensue coronary bypass surgery. Among these complications, early or late dissection of the ascending aorta is a very rare condition. Successful surgery without life-threatening results can save lives. In this case report, we present a case of aortic dissection due to cross-clamp injury in a patient who underwent coronary artery bypass surgery. A 60-year-old female patient underwent double-vessel aortocoronary bypass surgery due to coronary artery disease. After distal bypasses were performed and the cross-clamp was removed, dissection of the aorta occurred. Consequently, axillary cannulation and ascending aortic replacement with a prosthetic graft were performed via the open technique. The saphenous vein graft was sutured to the aortic prosthetic graft, and cardiopulmonary bypass was terminated after hemodynamic stability was achieved. The patient was discharged on the 10th postoperative day, and she has been followed up for 2 years after surgery without any problems.
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spelling doaj.art-3196d83560534050945730ce325c5fd32022-12-21T19:13:38ZengTehran University of Medical SciencesJournal of Tehran University Heart Center1735-86202008-23712019-10-0114410.18502/jthc.v14i4.2008Acute Dissection of the Ascending Aorta as a Rare Complication of Aortocoronary Bypasses Surgery: A Case ReportFerhat Borulu0Bilgehan Erkut1Department of Cardiovascular Surgery, Medical Faculty, Atatürk University, Erzurum, Turkey.Department of Cardiovascular Surgery, Medical Faculty, Atatürk University, Erzurum, Turkey.Many complications may ensue coronary bypass surgery. Among these complications, early or late dissection of the ascending aorta is a very rare condition. Successful surgery without life-threatening results can save lives. In this case report, we present a case of aortic dissection due to cross-clamp injury in a patient who underwent coronary artery bypass surgery. A 60-year-old female patient underwent double-vessel aortocoronary bypass surgery due to coronary artery disease. After distal bypasses were performed and the cross-clamp was removed, dissection of the aorta occurred. Consequently, axillary cannulation and ascending aortic replacement with a prosthetic graft were performed via the open technique. The saphenous vein graft was sutured to the aortic prosthetic graft, and cardiopulmonary bypass was terminated after hemodynamic stability was achieved. The patient was discharged on the 10th postoperative day, and she has been followed up for 2 years after surgery without any problems.https://jthc.tums.ac.ir/index.php/jthc/article/view/1058Coronary artery bypassAneurysm; dissectingAorta
spellingShingle Ferhat Borulu
Bilgehan Erkut
Acute Dissection of the Ascending Aorta as a Rare Complication of Aortocoronary Bypasses Surgery: A Case Report
Journal of Tehran University Heart Center
Coronary artery bypass
Aneurysm; dissecting
Aorta
title Acute Dissection of the Ascending Aorta as a Rare Complication of Aortocoronary Bypasses Surgery: A Case Report
title_full Acute Dissection of the Ascending Aorta as a Rare Complication of Aortocoronary Bypasses Surgery: A Case Report
title_fullStr Acute Dissection of the Ascending Aorta as a Rare Complication of Aortocoronary Bypasses Surgery: A Case Report
title_full_unstemmed Acute Dissection of the Ascending Aorta as a Rare Complication of Aortocoronary Bypasses Surgery: A Case Report
title_short Acute Dissection of the Ascending Aorta as a Rare Complication of Aortocoronary Bypasses Surgery: A Case Report
title_sort acute dissection of the ascending aorta as a rare complication of aortocoronary bypasses surgery a case report
topic Coronary artery bypass
Aneurysm; dissecting
Aorta
url https://jthc.tums.ac.ir/index.php/jthc/article/view/1058
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