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

Boruchow, Irwin B.; Iyengar, Ramanuja; Jude, James R.

doi:10.1016/s0022-5223(19)39963-5

Cited by 37 publications

(7 citation statements)

References 3 publications

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“…Aortic dissection is a rare but well‐known complication after manipulation of the ascending aorta during open heart surgery, and it is associated with a high mortality rate 1,2 . To maintain the quality of care in off‐pump coronary artery bypass (OPCAB) patients, a no‐touch technique of the ascending aorta is important and/or if not possible, to perform the proximal anastomoses on the aorta with a no‐clamp technique 3 …”

mentioning

confidence: 99%

THIS ARTICLE HAS BEEN RETRACTED: Ascending Aortic Dissection After Proximal Bypass Anastomotic Device

Weber

Tavakoli

Genoni

2008

Journal of Cardiac Surgery

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Ascending aortic dissection is a known complication of cardiac surgery. Different type of devices allowing performance of proximal bypass anastomoses without aortic side-clamping are supposed to reduce the risk for aortic dissection. We report a case in which ascending aortic dissection occurred six months after off-pump coronary artery bypass surgery, with the entry tear arising directly from a proximal anastomosis performed with the Heartstring hemostatic seal system.

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mentioning

confidence: 99%

THIS ARTICLE HAS BEEN RETRACTED: Ascending Aortic Dissection After Proximal Bypass Anastomotic Device

Weber

Tavakoli

Genoni

2008

Journal of Cardiac Surgery

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“…Another form of iatrogenic dissection is caused by trauma to the aorta and/or its branches. This special pathology can be triggered by central or peripheral cannulation for extracorporeal circulation as well as a variety of other surgical injuries to the aorta [3,10,19,22]. The incidence of aortic dissection following cardiac surgery is low, approximately 0.1% [21,23,24].…”

Section: Discussionmentioning

confidence: 99%

“…Hematomas expanding rapidly from the site of the in-jury and leading to involvement of the aorta can quickly become extremely dangerous. The mechanisms of initial aortic injury leading to aortic dissection are multiple: aortic cannulation and cross-clamping, use of aortic punches, tangential aortic clamping for proximal anastomoses between the aorta and graft [3,12,22]. The prognosis of perioperative aortic dissection in connection to cardiac surgery is similar to that of spontaneous aortic dissection.…”

Section: Discussionmentioning

confidence: 99%

Perioperative Aortic Dissection: Early Recognition Improves Outcome

Savolainen¹,

Nand²,

Ullal³

et al. 2003

Int J Angiol

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“…Hepatitis occurs in a small percentage of patients and its frequency is determined by the amount of blood given and the type of blood donor that supplied the blood (Clements and Hurst, 1980;Hurst et al, 1982). Dissection of the aorta may rarely occur as" a complication of coronary bypass surgery (Boruchow et al, 1977). Sternal and mediastinal infection may rarely occur (Clements and Hurst, 1980).…”

Section: Introductionmentioning

confidence: 99%

Massive prostatic infarction following aortocoronary bypass surgery: A report of two cases

Taussig

Hurst

Ambrose

et al. 1984

Clinical Cardiology

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Summary: We present two patients who had massive prostatic infarctions following coronary bypass surgery. Whereas small areas of prostatic infarction are commonly seen in urologic practice, massive infarction is rarely seen. Massive prostatic infarction has been observed under conditions similar to those occurring with bypass surgery, so no claim is made that the condition occurs uniquely in patients who have recently undergone bypass surgery. Since coronary bypass surgery is commonly perfonned and since the procedure is often done on men with prostatic hypetplasia, we can reasonably expect to see this condition more commonly that we have in the past. It is our hope that others will be alerted to this condition and look for it in patients with prostatism who undergo coronary bypass surgery, other types of cardiac surgery, and any condition where prostatism and hypotension are present and pressor agents are used in treatment.

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

Cited by 37 publications

References 3 publications

THIS ARTICLE HAS BEEN RETRACTED: Ascending Aortic Dissection After Proximal Bypass Anastomotic Device

THIS ARTICLE HAS BEEN RETRACTED: Ascending Aortic Dissection After Proximal Bypass Anastomotic Device

Perioperative Aortic Dissection: Early Recognition Improves Outcome

Massive prostatic infarction following aortocoronary bypass surgery: A report of two cases

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