Retrograde Aortic Dissection during Ascending Aortic Aneurysm Surgery : A case report

Choi, Hyeran; Kim, Bumjin; Lee, Sangseok; Yoo, Byunghoon; Kim, Kyemin; Yeon, Junheum

Case Report

Cardiothoracic and Vascular Anesthesia

Anesthesia and Pain Medicine 2008;3(1):36-39.
Published online January 30, 2008.

Retrograde Aortic Dissection during Ascending Aortic Aneurysm Surgery : A case report

Hyeran Choi, Bumjin Kim, Sangseok Lee, Byunghoon Yoo, Kyemin Kim, Junheum Yeon

Department of Anesthesiology and Pain Medicine, Sanggye Paik Hospital, College of Medicine, Inje University, Seoul, Korea. sslee@sanggyepaik.ac.kr

Abstract

Aortic dissection during cardiopulmonary bypass for aortic aneurysm surgery is a rare complication. If unrecognized in early time, it would be a fatal consequence. Neurological sequelae remain a well-recognized complication of cardiac surgery. Monitoring of cerebral oxygenation may be a useful technique for identifying vulnerable periods for the development of neurological injury. We report the experience of the decreasing left radial blood pressure and left rSO2 which caused by retrograde aortic dissection during the ascending aortic aneurysm replacement surgery.

Key Words: aortic dissection, cardiac surgery, cardiopulmonary bypass, cerebral oximetry