Iatrogenic Aortic Dissection

Rawat, Rajinder Singh; Mehta, Yatin; Saxena, Pravin; Bhan, Anil

doi:10.1053/j.jvca.2011.02.003

Cited by 2 publications

(2 citation statements)

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“…[ 8 ] Retrograde dissections resulting during or after endovascular stenting of the thoracic aorta or aortic arch have also been reported. [ 9 10 ]…”

Section: Mechanism Of Aortic Dissectionmentioning

confidence: 99%

“…The sudden disappearance of radial arterial pressure waveform during surgery or endovascular stenting should raise the suspicion of IAD. [ 10 ] Patients in whom dissection does complicate cardiopulmonary bypass (CPB) procedures, prompt recognition of the dissection, and expeditious surgical repair are necessary to achieve a successful outcome. Malperfusion of the vessels supplying the brain, coronary arteries, mesentery, and renal arteries leads to an adverse patient outcome.…”

Section: Diagnosismentioning

confidence: 99%

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Intraoperative aortic dissection

Singh

Mehta

2015

Ann Card Anaesth

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Intraoperative aortic dissection is a rare but fatal complication of open heart surgery. By recognizing the population at risk and by using a gentle operative technique in such patients, the surgeon can usually avoid iatrogenic injury to the aorta. Intraoperative transesophageal echocardiography and epiaortic scanning are invaluable for prompt diagnosis and determination of the extent of the injury. Prevention lies in the strict control of blood pressure during cannulation/decannulation, construction of proximal anastomosis, or in avoiding manipulation of the aorta in high-risk patients. Immediate repair using interposition graft or Dacron patch graft is warranted to reduce the high mortality associated with this complication.

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“…[ 8 ] Retrograde dissections resulting during or after endovascular stenting of the thoracic aorta or aortic arch have also been reported. [ 9 10 ]…”

Section: Mechanism Of Aortic Dissectionmentioning

confidence: 99%

Section: Diagnosismentioning

confidence: 99%