ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Joseph S. Carey
Calvin Scott
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Carey, J. S.
Right arrow Articles by Scott, C.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Carey, J. S.
Right arrow Articles by Scott, C.

Ann Thorac Surg 1977;24:44-48
© 1977 The Society of Thoracic Surgeons

Articles

Retrograde Aortic Dissection During Cardiopulmonary Bypass: "Nonoperative" Management

Joseph S. Carey, M.D.*, James R. Skow, M.D., Calvin Scott, B.S.

From the Section of Thoracic and Cardiovascular Surgery, St John's Hospital and Health Center, Santa Monica, and Veterans Administration Wadsworth Hospital, Los Angeles, CA

Accepted for publication December 1, 1976.

* Address reprint requests to Dr. Carey, 2021 Santa Monica Blvd, Santa Monica, CA 90404

Seven patients are reported in whom retrograde aortic dissection occurred, 2 during valve replacement and 5 during coronary artery bypass, among 770 patients perfused through the common femoral artery. Successful management included: (1) immediate cessation of cardiopulmonary bypass; (2) removal of the arterial cannula and its replacement in the ascending aorta, usually through both lumens of the dissection; (3) completion of the operation by suturing the proximal ends of saphenous vein grafts to both lumens of the dissection in the ascending aorta; and (4) no treatment of the dissection itself.

One patient died of other causes 30 days postoperatively. Follow-up from 2 to 3 1/2 years in 6 long-term survivors has revealed no complications related to the dissection. Saphenous vein graft function is apparently satisfactory.




This article has been cited by other articles:


Home page
 Card Surg AdultHome page
J. W. Hammon
Extracorporeal Circulation: Perfusion System
Card. Surg. Adult, January 1, 2008; 3(2008): 350 - 370.
[Full Text]

Home page
 Card Surg AdultHome page
E. A. Hessel II and L. H. Edmunds Jr.
Extracorporeal Circulation: Perfusion Systems
Card. Surg. Adult, January 1, 2003; 2(2003): 317 - 338.
[Full Text]

Home page
 Ann. Thorac. Surg.Home page
G. V. S. Parr, N. J. Manley, D. R. Williams, and R. M. Montesano
Obstruction of the True Lumen during Retrograde Perfusion of Type I Aortic Dissections: A Simplified Solution
Ann. Thorac. Surg., November 1, 1980; 30(5): 495 - 498.
[Abstract] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1977 by The Society of Thoracic Surgeons.