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Ann Thorac Surg 1996;62:1202-1203
© 1996 The Society of Thoracic Surgeons

Case Report

Successful Surgical Repair of Aortic Dissection Presenting With Complete Heart Block

Michael E. Jessen, MD, Vernon P. H. Horn, MD, David E. Weaver, MD, James D. Boehrer, MD, W. Steves Ring, MD

Department of Surgery, St. Paul Medical Center, Dallas, Texas

Accepted for publication April 26, 1996.

Acute dissection of the ascending aorta can present with complete heart block if the dissecting hematoma involves the interatrial septum near the atrioventricular node. We report a case of acute type A dissection presenting with complete heart block treated with emergency grafting of the ascending aorta, aortic valve replacement, and coronary artery bypass grafting. The patient survived, although complete heart block persisted requiring permanent pacemaker implantation.






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Copyright © 1996 by The Society of Thoracic Surgeons.