A Case of Intraoperative Acute Aortic Dissection during Mitral Valve Plasty.
10.4326/jjcvs.29.29
- VernacularTitle:僧帽弁形成術中に生じた急性大動脈解離の１例
- Author:
Masahiro Ueno
;
Yukinori Moriyama
;
Yoshifumi Iguro
;
Koichi Hisatomi
;
Riichiro Toda
;
Hitoshi Matsumoto
;
Akira Kobayashi
;
Goichi Yotsumoto
;
Yoshihiro Fukumoto
;
Akira Taira
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2000;29(1):29-32
- CountryJapan
- Language:Japanese
-
Abstract:
A 74-year-old man undergone mitral valve plasty. After cessation of cardiopulmonary bypass, bleeding persisted from the cardioplegia injection site and dilatation of the ascending aorta with discoloration was observed. The diagnosis of type A aortic dissection extending to the descending aorta was made by transesophageal echocardiogram. Replacement of the ascending aorta was performed under deep hypothermic circulatory arrest. The postoperative course was uneventful. The false lumen of the aortic arch and descending aorta was thrombosed completely on postoperative computed tomography. Intraoperative aortic dissection is a rare but fatal complication of cardiopulmonary bypass. Prompt recognition and appropriate surgical management are of prime importance.
