Iatrogenic Acute Type A Aortic Dissection following Elective Cardiopulmonary Bypass Article Swipe

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Medicine Cardiopulmonary bypass Aortic dissection Perforation Superior mesenteric artery Surgery Dissection (medical) Computed tomography Cardiology Radiology Aorta Materials science Metallurgy Punching

Pierre Huette , Christophe Beyls , Mathieu Guilbart , Guillaume Haye , Jérémie Vial , Gilles Touati , Yazine Mahjoub , Osama Abou‐Arab ·

YOU? · · 2020 · Open Access · · DOI: https://doi.org/10.1055/s-0040-1715124 · OA: W3117417473

We report a 62-year-old woman who was scheduled for an elective Tirone David valve sparing aortic root replacement under cardiopulmonary bypass. Within the next few hours, the patient developed bilateral acute ischemia of both lower limbs. A thoracic and abdominopelvic computed tomography scan showed acute Type A aortic dissection with a perforation at the brachiocephalic arterial trunk and a complete malperfusion of the inferior mesenteric and iliac arteries.