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Updated: May 8, 2026
06:26
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
[Intraoperative aortic dissection]
Onichi Furuya1, Shinichi Higashiue, Keiji Matsubayashi
1Department of Cardiovascular Surgery, Kishiwada Tokushukai Hospital, Kishiwada, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|September 7, 2013
Summary
Intraoperative aortic dissection is a rare but serious complication during open heart surgery. Prompt diagnosis and surgical repair are crucial for improving patient outcomes and reducing mortality.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Surgical Complications
Background:
- Intraoperative aortic dissection is a rare complication of open heart operations, associated with a high mortality rate.
- Effective management requires prompt recognition and appropriate surgical intervention.
Observation:
- This report details 4 cases of intraoperative aortic dissection.
- The incidence rate was observed to be 0.08% in the studied population.
- The most frequent site of aortic injury was identified as the aortic cannulation site, occurring in 3 out of 4 patients.
Findings:
- Intraoperative epiaortic echography proved effective for diagnosing aortic dissection.
- All patients diagnosed with intraoperative aortic dissection underwent graft replacement of the ascending aorta.
- The postoperative course for all patients was uneventful following surgical intervention.
Implications:
- Early detection and timely surgical management are essential for improving outcomes in patients experiencing intraoperative aortic dissection.
- This highlights the importance of vigilant monitoring and preparedness for managing this rare but critical complication.
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