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Updated: Oct 1, 2025

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
[Intraoperative Aortic Dissection during Mitral Valve Plasty:Report of a Case]
Makoto Tanabe1, Yasuhiro Sawada, Kentarou Inoue
1Department of Cardiovascular Surgery, Mie Prefectural General Medical Center, Yokkaichi, Japan.
Abstract:
We report the case of a 74-year-old woman who underwent mitral valve plasty for mitral regurgitation. During the surgery, the ascending aorta was dilated and turned dark red after aortic cannulation. Intraoperative transesophageal echocardiography and direct epiaortic echography revealed type A aortic dissection. In addition to mitral valve plasty, replacement of the ascending aorta was performed under hypothermic circulatory arrest. The postoperative course was uneventful. Because intraoperative aortic dissection is a rare complication, its rapid identification and appropriate management is essential.
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