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Aortic root dissection complicating coronary bypass surgery

  • W.Jay Nicholson
    Affiliations
    From the Division of Cardiology, Department of Medicine and the Division of Thoracic Surgery, Emory University School of Medicine, Atlanta, Georgia USA

    The Atlanta Veterans Administration Hospital, Decatur, Georgia USA

    The Emory University Hospital, Atlanta, Georgia USA
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  • I.Sylvia Crawley
    Correspondence
    Address for reprints: I. Sylvia Crawley, MD, Cardiology Section, Atlanta Veterans Administration Hospital, 1670 Clairmont Road, Decatur, Georgia 30033.
    Affiliations
    From the Division of Cardiology, Department of Medicine and the Division of Thoracic Surgery, Emory University School of Medicine, Atlanta, Georgia USA

    The Atlanta Veterans Administration Hospital, Decatur, Georgia USA

    The Emory University Hospital, Atlanta, Georgia USA
    Search for articles by this author
  • R.Bruce Logue
    Affiliations
    From the Division of Cardiology, Department of Medicine and the Division of Thoracic Surgery, Emory University School of Medicine, Atlanta, Georgia USA

    The Atlanta Veterans Administration Hospital, Decatur, Georgia USA

    The Emory University Hospital, Atlanta, Georgia USA
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  • Edward R. Dorney
    Affiliations
    From the Division of Cardiology, Department of Medicine and the Division of Thoracic Surgery, Emory University School of Medicine, Atlanta, Georgia USA

    The Atlanta Veterans Administration Hospital, Decatur, Georgia USA

    The Emory University Hospital, Atlanta, Georgia USA
    Search for articles by this author
  • B.Woodfin Cobbs
    Affiliations
    From the Division of Cardiology, Department of Medicine and the Division of Thoracic Surgery, Emory University School of Medicine, Atlanta, Georgia USA

    The Atlanta Veterans Administration Hospital, Decatur, Georgia USA

    The Emory University Hospital, Atlanta, Georgia USA
    Search for articles by this author
  • Charles R. Hatcher Jr.
    Affiliations
    From the Division of Cardiology, Department of Medicine and the Division of Thoracic Surgery, Emory University School of Medicine, Atlanta, Georgia USA

    The Atlanta Veterans Administration Hospital, Decatur, Georgia USA

    The Emory University Hospital, Atlanta, Georgia USA
    Search for articles by this author
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      Abstract

      Four cases are presented of aortic root dissection after aortocoronary bypass surgery in which the origin of the intimai tear was at or very near the aortic site of saphenous veln anastomosis. Two cases were documented at autopsy. In one of two cases diagnosed with aortography, the patient underwent surgical correction and survived. All patients had long-standing severe hypertensive cardiovascular disease or severe generalized atherosclerotic disease, or both. Clinical awareness of aortic dissection after coronary bypass surgery in this group of patients should make early diagnosis with successful surgical correction feasible.
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