caa a22 4500 475754263 CHVBK 20180406123533.0 cr unu---uuuuu 170329e20001101xx s 000 0 eng 10.1007/s005950070026 doi (NATIONALLICENCE)springer-10.1007/s005950070026 Aortic Dissections Complicating Open Cardiac Surgery: Report of Three Cases [Elektronische Daten] [Shigeaki Aoyagi, Eiki Tayama, Masaru Nishimi, Shingo Chihara, Seiji Onizuka, Shuji Fukunaga] Between June 1991 and February 1999, three patients suffered ascending aortic dissection as a complication of cardiopulmonary bypass operations with aortic cannulation at our hospital. The dissection occurred during the operation in two of the three patients and several months after the operation in one. Among a total of 2 207 cardiac operations performed during this period, the incidence of perioperative ascending aortic dissection was 0.14%. In addition to visual inspection and palpation, either epicardial or transesophageal echocardiography proved extremely useful for establishing an intraoperative diagnosis of ascending aortic dissection as a complication of open cardiac operation. One of the three patients underwent closed plication but subsequently died of vital organ ischemia. In this case, failure of reapproximation of the injured intima by closed plication might have led to extension of the dissection. Despite prolonged cardiopulmonary bypass and myocardial ischemic time, graft replacement of the ascending aorta was successfully carried out in the other two patients. Thus, we believe that graft replacement of the ascending aorta should be performed for patients with extensive aortic dissection complicating an open cardiac operation. Springer-Verlag, 2000 Key words Perioperative aortic dissection nationallicence Transesophageal echocardiography nationallicence Epicardial echocardiography nationallicence Aoyagi Shigeaki Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume 830-0011, Japan, JP aut Tayama Eiki Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume 830-0011, Japan, JP aut Nishimi Masaru Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume 830-0011, Japan, JP aut Chihara Shingo Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume 830-0011, Japan, JP aut Onizuka Seiji Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume 830-0011, Japan, JP aut Fukunaga Shuji Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume 830-0011, Japan, JP aut https://doi.org/10.1007/s005950070026 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s005950070026 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Aoyagi Shigeaki Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume 830-0011, Japan, JP aut NATIONALLICENCE 700 1- Tayama Eiki Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume 830-0011, Japan, JP aut NATIONALLICENCE 700 1- Nishimi Masaru Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume 830-0011, Japan, JP aut NATIONALLICENCE 700 1- Chihara Shingo Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume 830-0011, Japan, JP aut NATIONALLICENCE 700 1- Onizuka Seiji Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume 830-0011, Japan, JP aut NATIONALLICENCE 700 1- Fukunaga Shuji Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume 830-0011, Japan, JP aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer