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Iatrogenic Acute Type A Aortic Dissection following Elective Cardiopulmonary Bypass

We report a 62-year-old woman who was scheduled for an elective Tirone David valve sparing aortic root replacement under cardiopulmonary bypass. Within the next few hours, the patient developed bilateral acute ischemia of both lower limbs. A thoracic and abdominopelvic computed tomography scan showe...

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Detalles Bibliográficos
Autores principales: Huette, Pierre, Beyls, Christophe, Guilbart, Mathieu, Haye, Guillaume, Vial, Jérémie, Touati, Gilles, Mahjoub, Yazine, Abou-Arab, Osama
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical Publishers, Inc. 2020
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7758117/
https://www.ncbi.nlm.nih.gov/pubmed/33368103
http://dx.doi.org/10.1055/s-0040-1715124
Descripción
Sumario:We report a 62-year-old woman who was scheduled for an elective Tirone David valve sparing aortic root replacement under cardiopulmonary bypass. Within the next few hours, the patient developed bilateral acute ischemia of both lower limbs. A thoracic and abdominopelvic computed tomography scan showed acute Type A aortic dissection with a perforation at the brachiocephalic arterial trunk and a complete malperfusion of the inferior mesenteric and iliac arteries.