Retrograde Aortic Dissection During Cardiopulmonary Bypass: “Nonoperative” Management
Seven patients are reported in whom retrograde aortic dissection occurred, 2 during valve replacement and 5 during coronary artery bypass, among 770 patients perfused through the common femoral artery. Successful management included: (1) immediate cessation of cardiopulmonary bypass; (2) removal of...
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| Veröffentlicht in: | The Annals of thoracic surgery 1977-07, Vol.24 (1), p.44-48 |
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| container_title | The Annals of thoracic surgery |
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| creator | Carey, Joseph S. Skow, James R. Scott, Calvin |
| description | Seven patients are reported in whom retrograde aortic dissection occurred, 2 during valve replacement and 5 during coronary artery bypass, among 770 patients perfused through the common femoral artery. Successful management included: (1) immediate cessation of cardiopulmonary bypass; (2) removal of the arterial cannula and its replacement in the ascending aorta, usually through both lumens of the dissection; (3) completion of the operation by suturing the proximal ends of saphenous vein grafts to both lumens of the dissection in the ascending aorta; and (4) no treatment of the dissection itself.
One patient died of other causes 30 days postoperatively. Follow-up from 2 to 3 1/2 years in 6 long-term survivors has revealed no complications related to the dissection. Saphenous vein graft function is apparently satisfactory. |
| doi_str_mv | 10.1016/S0003-4975(10)64570-5 |
| format | Article |
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One patient died of other causes 30 days postoperatively. Follow-up from 2 to 3 1/2 years in 6 long-term survivors has revealed no complications related to the dissection. Saphenous vein graft function is apparently satisfactory.</description><subject>Adult</subject><subject>Aged</subject><subject>Aneurysm, Dissecting - etiology</subject><subject>Aortic Aneurysm - etiology</subject><subject>Aortic Aneurysm - surgery</subject><subject>Cardiopulmonary Bypass - adverse effects</subject><subject>Catheterization - adverse effects</subject><subject>Female</subject><subject>Femoral Artery</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Saphenous Vein - transplantation</subject><subject>Transplantation, Autologous</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1977</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMlOwzAQhi3EVgpvAFJOCA4BO4mbmAsqZZVYJJYDJ8uxJ5VREwc7qdRbHwRerk-C2yCunEYz_z_bh9ABwScEk8HpC8Y4DhOW0iOCjwcJTXFI11CPUBqFg4iyddT7s2yjHec-fBp5eQttZinLMtJD78_QWDO2QkEwNLbRMrjUzoFstKmCy9bqahyMhFXa1O2kNJWws-BiVgvnzoLF_OvRVKYGKxo9hcX8O3gQlRhDCVWzizYKMXGw9xv76O366nV0G94_3dyNhvehTBLchExEIi0YY4RGRTFQCWNSZjihjEaMxhJUIYuoiBOlslyqOMtEGmGW5wRwmqc47qPDbm5tzWcLruGldhImE1GBaR3PEkxizJg30s4orXHOQsFrq0v_DyeYL4nyFVG-xLUsrYhy6vv2fxe0eQnqr6tD6OXzTgb_5FSD5U5qqPzh2nqMXBn9z4Ifpy6IoA</recordid><startdate>197707</startdate><enddate>197707</enddate><creator>Carey, Joseph S.</creator><creator>Skow, James R.</creator><creator>Scott, Calvin</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>197707</creationdate><title>Retrograde Aortic Dissection During Cardiopulmonary Bypass: “Nonoperative” Management</title><author>Carey, Joseph S. ; Skow, James R. ; Scott, Calvin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440t-9a2a7f999152ff6d499cc8045952953cedfcf2f34dd8bcd388a7209bb1e07b703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1977</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aneurysm, Dissecting - etiology</topic><topic>Aortic Aneurysm - etiology</topic><topic>Aortic Aneurysm - surgery</topic><topic>Cardiopulmonary Bypass - adverse effects</topic><topic>Catheterization - adverse effects</topic><topic>Female</topic><topic>Femoral Artery</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Saphenous Vein - transplantation</topic><topic>Transplantation, Autologous</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Carey, Joseph S.</creatorcontrib><creatorcontrib>Skow, James R.</creatorcontrib><creatorcontrib>Scott, Calvin</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 Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Carey, Joseph S.</au><au>Skow, James R.</au><au>Scott, Calvin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Retrograde Aortic Dissection During Cardiopulmonary Bypass: “Nonoperative” Management</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>1977-07</date><risdate>1977</risdate><volume>24</volume><issue>1</issue><spage>44</spage><epage>48</epage><pages>44-48</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><abstract>Seven patients are reported in whom retrograde aortic dissection occurred, 2 during valve replacement and 5 during coronary artery bypass, among 770 patients perfused through the common femoral artery. Successful management included: (1) immediate cessation of cardiopulmonary bypass; (2) removal of the arterial cannula and its replacement in the ascending aorta, usually through both lumens of the dissection; (3) completion of the operation by suturing the proximal ends of saphenous vein grafts to both lumens of the dissection in the ascending aorta; and (4) no treatment of the dissection itself.
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| fulltext | fulltext |
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| ispartof | The Annals of thoracic surgery, 1977-07, Vol.24 (1), p.44-48 |
| issn | 0003-4975 1552-6259 |
| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adult Aged Aneurysm, Dissecting - etiology Aortic Aneurysm - etiology Aortic Aneurysm - surgery Cardiopulmonary Bypass - adverse effects Catheterization - adverse effects Female Femoral Artery Humans Male Middle Aged Saphenous Vein - transplantation Transplantation, Autologous |
| title | Retrograde Aortic Dissection During Cardiopulmonary Bypass: “Nonoperative” Management |
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