Delayed iatrogenic aortic dissection from coronary bypass managed with extraanatomic bypass

Pappas, Dean; Hines, George L.; Gennaro, Mark; Hartman, Alan R.

doi:10.1016/s0022-5223(98)70379-4

Cited by 9 publications

(6 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Table 1 presents the descriptive analysis of these cases. [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21] The 27 patients were aged 50 to 81 years, 25 (93%) males and 2 (7%) females. Among the patients, 23 (85%) were Europeans and 4 (15%) were Asians.…”

Section: Resultsmentioning

confidence: 99%

Iatrogenic aortic dissection in patients undergoing coronary artery bypass grafting surgery: A systemic review of published literatures

Yuan,

Sun,

Chen

et al. 2024

Medicine

View full text Add to dashboard Cite

Background: Iatrogenic aortic dissection (IAD) is a rare but highly lethal complication that may occur following coronary artery bypass grafting (CABG) surgery. Aortic dissection (AD) is often asymptomatic, making early detection difficult. We aimed to optimize preoperative evaluation strategies of CABG surgery for minimizing the incidence of IAD and assess early recognition and management of IAD for improving outcomes. Methods: Electronic databases were searched to identify all case reports of patients undergoing CABG surgery who developed IAD. Clinical characteristics, operative information, perioperative management, and patient outcomes were compiled and analyzed. Results: Nineteen case reports involving 27 patients aged 50 to 81 were included. Patients were from Europe (n = 23) and Asia (n = 4), mostly men (n = 25). The aorta was described as normal, abnormal, and unmentioned (n = 8, 5, and 14, respectively). Sixteen patients had a bypass with more than 3 grafts. Most patients (n = 25) experienced type A dissection. There were intraoperative (n = 12) and postoperative (n = 15) cases. Surgery (n = 19) was the most common treatment, with 9 patients selecting deep hypothermic circulatory arrest. Eighteen patients were restored to health, while 9 patients died (3 died before treatment). Conclusions: Our study focused on patients with IAD and developed a recommended management protocol for patients undergoing CABG surgery.

show abstract

Section: Resultsmentioning

confidence: 99%

Iatrogenic aortic dissection in patients undergoing coronary artery bypass grafting surgery: A systemic review of published literatures

Yuan,

Sun,

Chen

et al. 2024

Medicine

View full text Add to dashboard Cite

show abstract

“…These procedures have been described for type A dissection and may be limb-saving. 24 They can decrease morbidity even if the original type B dissection is treated medically.…”

Section: Surgical Therapy Of Acute Type B Dissectionmentioning

confidence: 99%

Management of Acute Complicated and Uncomplicated Type B Dissection of the Aorta

Bogdan¹,

Hines²

2010

Cardiology in Review

Self Cite

View full text Add to dashboard Cite

Endovascular repair of aortic dissection is the subject of multiple studies. This article aims to review the current literature on Type B complicated and uncomplicated dissection, including indications for medical therapy, open surgical therapy, and endovascular therapy. The review suggests a benefit for thoracic endovascular aortic repair in complicated dissection and medical therapy for uncomplicated dissection. Upcoming trials may shed more light on this issue.

show abstract

“…Of this 3 to 5 % is due to aortic dissection (1). The operation also carries morbidity that may be understated.…”

Section: Introductionmentioning

confidence: 99%

Early Acute Aortic Dissection after Coronary Artery Bypass Graft

2010

View full text Add to dashboard Cite

show abstract

Delayed iatrogenic aortic dissection from coronary bypass managed with extraanatomic bypass

Cited by 9 publications

References 6 publications

Iatrogenic aortic dissection in patients undergoing coronary artery bypass grafting surgery: A systemic review of published literatures

Iatrogenic aortic dissection in patients undergoing coronary artery bypass grafting surgery: A systemic review of published literatures

Management of Acute Complicated and Uncomplicated Type B Dissection of the Aorta

Early Acute Aortic Dissection after Coronary Artery Bypass Graft

Contact Info

Product

Resources

About