[HSF] Aortic Dissection early after AVR with CABG

[Prasanna Simha M]

Has VOMIT been excluded . Has an Echo/TEE also shown the dissection ?
Prasanna

On Thu, May 15, 2008 at 6:37 AM, Tohru Asai <toruasai at belle.shiga-med.ac.jp>
wrote:

> Dear Members
> The 73 yo male had underwent AVR(CEP) and double CABG (LITA-LAD, SVG-PDA),
> and had shown good recovery. Prior to discharge, we evaluated contrast
> enhanced CT to confirm graft patency. The study showed ascending aortic
> dissection. Pseudolumen was widely patent from the level of very proximal
> ascending to the proximal arch. No clot in the pseudolumen, which occupied
> about half the lumen of the mid ascending. Outer dimention of the Aorta was
> 4.5 to 5.0 cm. Our staff had waited a week to check the size until I came
> back from NY. The repeat CT showed the same picture. The patient had never
> experienced the dissection-like symptom at all. In OR, there was no sign of
> aortic dissection.
>
> What should we do? Operate? Now 3 weeks from the initial surgery.
> Any comments are welcome.
> --
> Tohru Asai
> Shiga University of Medical Science
> Otsu, Japan
>
>
>
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-- 
Prasanna Simha M