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 |
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container_title | The American journal of cardiology |
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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. Clinical awareness of aortic dissection after coronary bypass surgery in this group of patients should make early diagnosis with successful surgical correction feasible.</description><identifier>ISSN: 0002-9149</identifier><identifier>EISSN: 1879-1913</identifier><identifier>DOI: 10.1016/0002-9149(78)90139-X</identifier><identifier>PMID: 304660</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>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</subject><ispartof>The American journal of cardiology, 1978, Vol.41 (1), p.103-107</ispartof><rights>1978</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c451t-f51b8b2bf5c56385d4285a8ab8399605ef89deea3af296838a73e310bcbbddcc3</citedby><cites>FETCH-LOGICAL-c451t-f51b8b2bf5c56385d4285a8ab8399605ef89deea3af296838a73e310bcbbddcc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0002-9149(78)90139-X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,4024,27923,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/304660$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nicholson, W.Jay</creatorcontrib><creatorcontrib>Crawley, I.Sylvia</creatorcontrib><creatorcontrib>Logue, R.Bruce</creatorcontrib><creatorcontrib>Dorney, Edward R.</creatorcontrib><creatorcontrib>Cobbs, B.Woodfin</creatorcontrib><creatorcontrib>Hatcher, Charles R.</creatorcontrib><title>Aortic root dissection complicating coronary bypass surgery</title><title>The American journal of cardiology</title><addtitle>Am J Cardiol</addtitle><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.</description><subject>Aged</subject><subject>Aneurysm, Dissecting - etiology</subject><subject>Angina Pectoris - surgery</subject><subject>Aorta, Thoracic</subject><subject>Aortic Aneurysm - etiology</subject><subject>Aortic Rupture - etiology</subject><subject>Arteriosclerosis - complications</subject><subject>Coronary Artery Bypass - adverse effects</subject><subject>Humans</subject><subject>Hypertension - complications</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Postoperative Complications</subject><issn>0002-9149</issn><issn>1879-1913</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1978</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kN1LwzAUxYP4Naf_wR76JPpQTZqmTRCEMfyCgS8KewtJejsibVOTVth_b-bGHn26HO45h3t_CM0IviOYFPcY4ywVJBc3Jb8VmFCRro7QhPBSpEQQeowmB8s5ugjhK0pCWHGGTinOiwJP0MPc-cGaxDs3JJUNAcxgXZcY1_aNNWqw3ToK7zrlN4ne9CqEJIx-DX5ziU5q1QS42s8p-nx--li8psv3l7fFfJmanJEhrRnRXGe6ZoYVlLMqzzhTXGlOhSgwg5qLCkBRVWei4JSrkgIlWButq8oYOkXXu97eu-8RwiBbGww0jerAjUFyWoqc8iwa853ReBeCh1r23rbxcEmw3CKTWx5yy0OWXP4hk6sYm-37R91CdQjtGMX1424N8ccfC14GY6EzUFkfacnK2f_7fwH4fHvu</recordid><startdate>1978</startdate><enddate>1978</enddate><creator>Nicholson, W.Jay</creator><creator>Crawley, I.Sylvia</creator><creator>Logue, R.Bruce</creator><creator>Dorney, Edward R.</creator><creator>Cobbs, B.Woodfin</creator><creator>Hatcher, Charles R.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1978</creationdate><title>Aortic root dissection complicating coronary bypass surgery</title><author>Nicholson, W.Jay ; Crawley, I.Sylvia ; Logue, R.Bruce ; Dorney, Edward R. ; Cobbs, B.Woodfin ; Hatcher, Charles R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c451t-f51b8b2bf5c56385d4285a8ab8399605ef89deea3af296838a73e310bcbbddcc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1978</creationdate><topic>Aged</topic><topic>Aneurysm, Dissecting - etiology</topic><topic>Angina Pectoris - surgery</topic><topic>Aorta, Thoracic</topic><topic>Aortic Aneurysm - etiology</topic><topic>Aortic Rupture - etiology</topic><topic>Arteriosclerosis - complications</topic><topic>Coronary Artery Bypass - adverse effects</topic><topic>Humans</topic><topic>Hypertension - complications</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Postoperative Complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nicholson, W.Jay</creatorcontrib><creatorcontrib>Crawley, I.Sylvia</creatorcontrib><creatorcontrib>Logue, R.Bruce</creatorcontrib><creatorcontrib>Dorney, Edward R.</creatorcontrib><creatorcontrib>Cobbs, B.Woodfin</creatorcontrib><creatorcontrib>Hatcher, Charles R.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nicholson, W.Jay</au><au>Crawley, I.Sylvia</au><au>Logue, R.Bruce</au><au>Dorney, Edward R.</au><au>Cobbs, B.Woodfin</au><au>Hatcher, Charles R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Aortic root dissection complicating coronary bypass surgery</atitle><jtitle>The American journal of cardiology</jtitle><addtitle>Am J Cardiol</addtitle><date>1978</date><risdate>1978</risdate><volume>41</volume><issue>1</issue><spage>103</spage><epage>107</epage><pages>103-107</pages><issn>0002-9149</issn><eissn>1879-1913</eissn><abstract>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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>304660</pmid><doi>10.1016/0002-9149(78)90139-X</doi><tpages>5</tpages></addata></record> |
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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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