From January 1987 to December 1991 at Cardiac Surgery Center of Parma were performed 2019 operations under cardiopulmonary bypass (CPB). Ascending aortic dissection occurred as intraoperative complication in 7 (0.34%) patients (group A), and postoperatively in 3 (group B). In this series there were two deaths: one patient of Group A died intraoperatively, the second (group B) suddenly at five days after operation and the diagnosis was possible only on autopsy. The most cases had aortic valvular disease (7/10), with concomitant wall disease predisposing to dissection by surgical manipulations. Surgical techniques depend on the extent of the dissection; furthermore we prefer to repair the lesion under CPB. We believe that successful surgical treatment of the intraoperative dissection is dependent on early recognition.
|Data di pubblicazione:||1993|
|Titolo:||Ascending aortic dissection as sudden or late complication of cardiac surgery|
|Codice identificativo Scopus:||2-s2.0-0027433248|
|Parole Chiave:||adult; aged; aorta dissection; aorta valve disease; article; ascending aorta; clinical article; controlled study; female; human; intraoperative period; male|
|Appare nelle tipologie:||Articolo su Rivista|