Aortic root dissection complicating coronary bypass surgery

Four cases are presented of aortic root dissection after aortocoronary bypass surgery in which the origin of the intimai tear was at or very near the aortic site of saphenous veln anastomosis. Two cases were documented at autopsy. In one of two cases diagnosed with aortography, the patient underwent...

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Veröffentlicht in:The American journal of cardiology 1978, Vol.41 (1), p.103-107
Hauptverfasser: Nicholson, W.Jay, Crawley, I.Sylvia, Logue, R.Bruce, Dorney, Edward R., Cobbs, B.Woodfin, Hatcher, Charles R.
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container_end_page 107
container_issue 1
container_start_page 103
container_title The American journal of cardiology
container_volume 41
creator Nicholson, W.Jay
Crawley, I.Sylvia
Logue, R.Bruce
Dorney, Edward R.
Cobbs, B.Woodfin
Hatcher, Charles R.
description Four cases are presented of aortic root dissection after aortocoronary bypass surgery in which the origin of the intimai tear was at or very near the aortic site of saphenous veln anastomosis. Two cases were documented at autopsy. In one of two cases diagnosed with aortography, the patient underwent surgical correction and survived. All patients had long-standing severe hypertensive cardiovascular disease or severe generalized atherosclerotic disease, or both. Clinical awareness of aortic dissection after coronary bypass surgery in this group of patients should make early diagnosis with successful surgical correction feasible.
doi_str_mv 10.1016/0002-9149(78)90139-X
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Two cases were documented at autopsy. In one of two cases diagnosed with aortography, the patient underwent surgical correction and survived. All patients had long-standing severe hypertensive cardiovascular disease or severe generalized atherosclerotic disease, or both. 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subjects Aged
Aneurysm, Dissecting - etiology
Angina Pectoris - surgery
Aorta, Thoracic
Aortic Aneurysm - etiology
Aortic Rupture - etiology
Arteriosclerosis - complications
Coronary Artery Bypass - adverse effects
Humans
Hypertension - complications
Male
Middle Aged
Postoperative Complications
title Aortic root dissection complicating coronary bypass surgery
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