Perioperative Dissection of the Ascending Aorta: Types of Repair
作者:
BRADFORD M. BLAKEMAN,
ROQUE PIFARRÉ,
HENRY J. SULLIVAN,
ALVARO MONTOYA,
MAMDOUH BAKHOS,
JOHN G. GRIECO,
BRYAN K. FOY,
期刊:
Journal of Cardiac Surgery
(WILEY Available online 1988)
卷期:
Volume 3,
issue 1
页码: 9-14
ISSN:0886-0440
年代: 1988
DOI:10.1111/j.1540-8191.1988.tb00212.x
出版商: Blackwell Publishing Ltd
数据来源: WILEY
摘要:
AbstractIatrogenic aortic injury occurring during either coronary bypass grafting or valve replacement is a well‐recognized complication of cardiac surgery. We retrospectively reviewed our experience and found 11 cases occurring in a case load of 8,945 hearts (incidence of 0.12%). All 11 cases were repaired, with 10 patients surviving. The type of repair used usually was determined by when the diagnosis was made. When an intraoperative diagnosis was made, a local repair was done in four of six cases. If a postoperative diagnosis was made, then all five patients needed the ascending aorta replaced. With early diagnosis and rapid repair, good surgical results can be achieve
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