Abstract
Aortic dissection occurring after open heart surgery is an uncommon but well recognized complication. Unfortunately, it is associated with a high morbidity and mortality. Pre-existing aortic wall pathology, intraoperative aortic manipulations and hypertension are known to predispose to the development of this condition. We report a case of aortic dissection occurring 2 years after coronary artery bypass surgery and complicated by acute saphenous vein graft occlusion and severe mitral insufficiency. We review the diagnosis and management of this complication.
MeSH terms
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Aged
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Aortic Aneurysm, Thoracic / diagnosis*
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Aortic Aneurysm, Thoracic / etiology
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Aortic Aneurysm, Thoracic / surgery*
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Aortic Dissection / diagnosis*
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Aortic Dissection / etiology
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Aortic Dissection / surgery*
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Aortography
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Blood Vessel Prosthesis Implantation*
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Cardiopulmonary Bypass
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Coronary Artery Bypass / adverse effects*
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Echocardiography, Transesophageal
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Graft Occlusion, Vascular / diagnostic imaging
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Graft Occlusion, Vascular / etiology
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Graft Occlusion, Vascular / surgery
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Heart Valve Prosthesis Implantation
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Humans
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Male
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Mitral Valve Insufficiency / diagnosis
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Mitral Valve Insufficiency / etiology
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Mitral Valve Insufficiency / surgery
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Reoperation