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Eur J Cardiothorac Surg 2003;24:315-317
© 2003 Elsevier Science NL

Case report

Acute aortic dissection after off-pump coronary artery surgery

Service of Cardiac Surgery, Erasme Hospital, Free University of Brussels, 808 Route de Lennik, B-1070 Brussels, Belgium

Received 11 January 2003; received in revised form 3 April 2003; accepted 23 April 2003.

^* Corresponding author. Tel.: +32-2-555-3817; fax: +32-2-555-6652
e-mail: jean-marie.de.smet{at}ulb.ac.be

Iatrogenic aortic dissection has been described, albeit infrequently, after coronary artery surgery performed under cardiopulmonary bypass. Since the advent of beating heart coronary surgery, several authors have described an apparent increase of this complication related to the application of a lateral clamp on the ascending aorta to perform the proximal anastomosis. We describe the case of a 70 years old patient who presented aortic dissection, with immediate paraplegia, 7 days after off-pump coronary surgery.

Key Words: Aortic dissection • Coronary bypass surgery • Off-pump