Next article Search Articles Instructions for authors  Access Statistics | Citation Manager  
REVIEW ARTICLE  

 Article Access Statistics
    Viewed3219    
    Printed47    
    Emailed2    
    PDF Downloaded222    
    Comments [Add]    
    Cited by others 2    

Recommend this journal

Intraoperative aortic dissection


Department of Cardiac Anaesthesia, Institute of Critical Care and Anesthesiology, Medanta The Medicity, Gurgaon, Haryana, India

Correspondence Address:
Ajmer Singh
Department of Cardiac Anaesthesia, Institute of Critical Care and Anesthesiology, Medanta The Medicity, Gurgaon, Haryana
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.166463

Rights and Permissions

Year : 2015  |  Volume : 18  |  Issue : 4  |  Page : 537-542

 

SEARCH
Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles

  Article in PDF (867 KB)
Email article
Print Article
Add to My List
Intraoperative aortic dissection is a rare but fatal complication of open heart surgery. By recognizing the population at risk and by using a gentle operative technique in such patients, the surgeon can usually avoid iatrogenic injury to the aorta. Intraoperative transesophageal echocardiography and epiaortic scanning are invaluable for prompt diagnosis and determination of the extent of the injury. Prevention lies in the strict control of blood pressure during cannulation/decannulation, construction of proximal anastomosis, or in avoiding manipulation of the aorta in high-risk patients. Immediate repair using interposition graft or Dacron patch graft is warranted to reduce the high mortality associated with this complication.






[FULL TEXT] [PDF]*
 

 

 

 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 
 
 Reader Comments
 Email Alert *
  *
 * Requires registration (Free)
 
 REVIEW ARTICLE
 




Department of Cardiac Anaesthesia, Institute of Critical Care and Anesthesiology, Medanta The Medicity, Gurgaon, Haryana, India

Correspondence Address:
Ajmer Singh
Department of Cardiac Anaesthesia, Institute of Critical Care and Anesthesiology, Medanta The Medicity, Gurgaon, Haryana
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.166463

Rights and Permissions

Intraoperative aortic dissection is a rare but fatal complication of open heart surgery. By recognizing the population at risk and by using a gentle operative technique in such patients, the surgeon can usually avoid iatrogenic injury to the aorta. Intraoperative transesophageal echocardiography and epiaortic scanning are invaluable for prompt diagnosis and determination of the extent of the injury. Prevention lies in the strict control of blood pressure during cannulation/decannulation, construction of proximal anastomosis, or in avoiding manipulation of the aorta in high-risk patients. Immediate repair using interposition graft or Dacron patch graft is warranted to reduce the high mortality associated with this complication.






[FULL TEXT] [PDF]*


        
Print this article     Email this article