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Eur J Cardiothorac Surg 2002;21:363-364
© 2002 Elsevier Science NL

Case report

Bypassing a dilemma: intraoperative coronary angiography in acute aortic dissection

Istituto di Chirurgia Cardiovascolare Universita’ agli Studi di Siena, Unita’ Operativa di Chirurgia dell’ Aorta Toracica, Policlinico le Scotte, Viale M.Bracci, 53100 Siena, Italy

Received 21 September 2001; received in revised form 25 October 2001; accepted 15 November 2001.

* Corresponding author. Tel.: +39-0577-585-733; fax: +39-0577-281-937
e-mail: euxneri{at}tin.it
e-mail: nerie{at}unisi.it

Untreated coronary artery disease may complicate the clinical course of patients with Stanford type A acute aortic dissection. In these patients the role of coronary angiography for the assessment of coronary circulation is controversial and it is considered by some time consuming thus increasing the risk of rupture. We describe a case of acute type A aortic dissection that illustrates our approach to this problem.

Key Words: Aneurysm, dissecting/diagnosis/surgery • Coronary disease/prevention and control/radiography • Coronary angiography

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