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Updated: Jul 6, 2026
06:26
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Late acute aortic dissection after coronary artery bypass
Amihay Shinfeld1, Ehud Raanani
1Department of Cardiac and Thoracic Surgery, The Chaim Sheba Medical Center, Tel Hashomer, Israel. amihaysh@hotmail.com
Langenbeck'S Archives of Surgery
|April 9, 2008
Summary
Late ascending aortic dissection after coronary artery bypass grafting (CABG) is rare. Surgical intervention is recommended for unstable patients, while stable patients benefit from close monitoring and blood pressure control.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Aortic Diseases
Background:
- Late ascending aortic dissection following coronary artery bypass grafting (CABG) is an infrequent complication.
- Treatment strategies for this condition remain a complex clinical challenge due to limited established guidelines.
Observation:
- A study reviewed eight patients diagnosed with post-CABG late acute aortic dissection between 1995 and 2005.
- The mean age of patients was 61.7 years, with an average of 45.3 months between CABG and dissection onset.
Findings:
- Three patients underwent surgical ascending aorta replacement; one died post-surgery, while two recovered well with a mean 6.5-year follow-up.
- Five patients were managed conservatively, showing stable aortic diameters on CT scans and good general health over an average 81.2-month follow-up.
Implications:
- Postoperative pericardial scarring may offer protection against dissection progression.
- Surgical treatment is suggested for non-stable patients, whereas stable patients may benefit from conservative management with close monitoring and antihypertensive therapy.
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