Injury to ascending aorta by partial-occlusion clamp during aorta-coronary bypass
Boruchow, I.B.; Iyengar, R.; Jude, J.R.
Journal of Thoracic and Cardiovascular Surgery 73(2): 303-305
1977
ISSN/ISBN: 0022-5223 PMID: 299907 Document Number: 116591
Disease of the proximal ascending aortic wall from prolonged, poorly controlled hypertension predisposed to intimal injury after clamp compression. This creates a spectrum of problems: (1) intimal tear with late formation of a localized aneurysm, (2) delayed acute dissecting aneurysm, and (3) intraoperative acute dissecting aneurysm. Principles of management are discussed.
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