Injury to ascending aorta by partial-occlusion clamp during aorta- coronary bypass

Disease of the proximal ascending aortic wall from prolonged, poorly controlled hypertension predisposed to intimal injury after clamp compression. This creates a spectrum of problems: (1) intimal tear with late formation of a localized aneurysm, (2) delayed acute dissecting aneurysm, and (3) intrao...

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Veröffentlicht in:	The Journal of thoracic and cardiovascular surgery 1977-02, Vol.73 (2), p.303-305
Hauptverfasser:	Boruchow, IB, Iyengar, R, Jude, JR
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Aneurysm, Dissecting - etiology Aorta - injuries Aorta - pathology Aortic Aneurysm - etiology Aortic Rupture - etiology Coronary Artery Bypass - adverse effects Coronary Disease - surgery Female Heart Aneurysm - surgery Humans Hypertension - complications Male Middle Aged Myocardial Infarction - surgery
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Beschreibung
Zusammenfassung:	Disease of the proximal ascending aortic wall from prolonged, poorly controlled hypertension predisposed to intimal injury after clamp compression. This creates a spectrum of problems: (1) intimal tear with late formation of a localized aneurysm, (2) delayed acute dissecting aneurysm, and (3) intraoperative acute dissecting aneurysm. Principles of management are discussed.
ISSN:	0022-5223 1097-685X
DOI:	10.1016/s0022-5223(19)39963-5