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Chest, Vol 80, 749-751, Copyright © 1981 by American College of Chest Physicians

ARTICLES

Aortic dissection following coronary arterial bypass graft surgery

RS Horowitz and JG Kitchen 3d

A 60-year-old man underwent coronary arterial bypass graft surgery for unstable angina. After surgery, he developed a widened mediastinum on the chest x-ray film and a murmur consistent with aortic regurgitation. He refused study until the return of his anginal symptoms five years after surgery. At that time the patient had unchanged chest x-ray film and physical findings. Aortograms revealed a large type-1 aortic dissection extending from the aortic root to the descending thoracic aorta. Long-term survival with an aortic dissection after coronary arterial bypass grafting is possible. The pathophysiologic and pathologic findings of a spontaneous type-1 aortic dissection may differ from that of the dissection described herein, and these differences may relate to survival.


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Increased incidence of acute ascending aortic dissection with off-pump aortocoronary bypass surgery?
Ann. Thorac. Surg., January 1, 2001; 71(1): 117 - 121.
[Abstract] [Full Text] [PDF]


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Copyright © 1981 by the American College of Chest Physicians.