Traumatic arterial dissection in open-heart surgery.

Matar, Adel F.; Ross, Donald N.

doi:10.1136/thx.22.1.82

Cited by 24 publications

(8 citation statements)

References 13 publications

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“…One of the two deaths in our series of six patients occurred when the dissection went unrecognized until late in the course of bypass while perfusion through the femoral artery was continued. The literature confirms the impoftance of prompt, appropriate treatment of a dissection (Benedict et al, 1974;Bilgutay et al, 1976;Carey et al, 1977;Dongaonkar, 1966;Elliott and Roe, 1965;Gosalbez et al, 1979;Jones et al, 1960;Kay et al, 1966;Lam et al, 1974;Lefrak and Howell, 1972;Matar and Ross, 1967;Pappas and Starzl, 1970;van der Woude and Itocovicci, 1965;Vathayanon et al, 1967;Williams and Johnson, 1964). Eighteen ofa total of 53 patients survived a retrograde aortic dissection.…”

Section: Treatmentmentioning

confidence: 72%

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Retrograde aortic dissection during cardiopulmonary bypass

Eugene

Aronow

Stemmer

1981

Clinical Cardiology

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Summary: Femoral artery perfusion for cardiopulmonary bypass is still employed for reoperation, procedures involving the thoracic aorta, and partial bypass in critical patients. Retrograde aortic dissection is the most significant complication of femoral perfusion. The reported incidence is from 0.6% to 14% with a mortality of 66%. Most of the deaths occurred in patients in whom the dissection was not recognized, or in whom the dissection was recognized but not treated appropriately. Our experience with retrograde dissection totals six patients of 640 (0.9%) in whom femoral inflow was used. Four of the six patients survived the dissection. Sudden increase in extracorporeal line pressure shortly after beginning cardiopulmonary bypass associated with decreased venous return, dampened radial arterial pressure, and the abrupt appearance of a bluish, bulging ascending aorta establishes the diagnosis. Survival is enhanced if cardiopulmonary bypass is promptly discontinued, aortic cannulation established, and bypass reinstituted with the induction of profound hypothermia. Circulatory arrest may then be employed to repair the false passage. In this series the proposed operation was completed in all six patients.

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Section: Treatmentmentioning

confidence: 72%

“…1965;Gosalbez et al .• 1979;Jones et al .• 1960;Kay et al .• 1966.• Lam et al .• 1974Lefrak and Howell. 1972;Matar and Ross. 1967;Pappas and Starzl.…”

Section: Discussionmentioning

confidence: 99%

Retrograde aortic dissection during cardiopulmonary bypass

Eugene

Aronow

Stemmer

1981

Clinical Cardiology

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“…2a was recorded when the catheter was inserted less than the described distance of 7-10 cm. (Matar and Ross, 1967). With this catheter further introduced to a distance of 25 cm., Fig.…”

Section: Resultsmentioning

confidence: 99%

Aortic cannulation

Parker

1969

Thorax

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“…Acute dissection of the aorta has been reported as an infrequent but serious complication of cardiopulmonary bypass, beginning most often at the site of femoral or iliac cannulation in association with severe atherosclerosis (Matar and Ross, 1967). Dissection also has originated proximal to the cannulae in arteriosclerotic vessels or those involved by cystic medial degeneration (Elliot and Roe, 1965).…”

Section: Discussionmentioning

confidence: 99%