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Published on: March 26, 2018
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Iatrogenic aortic dissection after minimally invasive aortic valve replacement: a case report
Mohamed Ehab Ramadan1, Lamia Buohliqah2, Juan Crestanello3
1Department of Anesthesiology, The Ohio State University, Wexner Medical Center, N411 Doan Hall, 410 West 10th Avenue, Columbus, OH, 43210, USA.
Journal of Cardiothoracic Surgery
|August 26, 2016
Summary
Iatrogenic acute aortic dissection (IAAD) is an increasing risk with minimally invasive cardiac procedures. Prompt diagnosis and team collaboration are crucial for managing this serious complication.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Medical Complications
Background:
- Minimally invasive cardiac and vascular procedures are increasing.
- This rise is associated with a growing incidence of iatrogenic acute aortic dissection (IAAD).
- Cardiovascular professionals need awareness of IAAD risk factors, prevention, and perioperative management.
Observation:
- A complicated case of IAAD following minimally invasive aortic valve replacement was encountered.
- The clinical management of this specific IAAD case was successful.
Findings:
- Prompt diagnosis of IAAD requires a high index of suspicion.
- Effective management of IAAD necessitates comprehensive perioperative team collaboration.
Implications:
- Increased vigilance for IAAD is essential in the context of evolving minimally invasive cardiovascular procedures.
- Multidisciplinary teamwork is critical for improving outcomes in patients experiencing IAAD.

