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CC BY 4.0 · Aorta (Stamford) 2022; 10(04): 201-209
DOI: 10.1055/s-0042-1756670
Special Feature Article

Iatrogenic Type A Aortic Dissection: Challenges and Frontiers—Contemporary Single Center Data and Clinical Perspective

Konstantin von Aspern
1   University Department for Cardiac Surgery, Leipzig Heart Center, Leipzig, Saxony, Germany
,
Sergey Leontyev
1   University Department for Cardiac Surgery, Leipzig Heart Center, Leipzig, Saxony, Germany
,
Christian D. Etz
1   University Department for Cardiac Surgery, Leipzig Heart Center, Leipzig, Saxony, Germany
,
Josephina Haunschild
1   University Department for Cardiac Surgery, Leipzig Heart Center, Leipzig, Saxony, Germany
,
Martin Misfeld
1   University Department for Cardiac Surgery, Leipzig Heart Center, Leipzig, Saxony, Germany
2   Department of Cardiothoracic Surgery, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia
3   Department of Cardiac Surgery, Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia
4   Institute of Academic Surgery, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia
5   The Baird Institute of Applied Heart and Lung Surgical Research, Sydney, New South Wales, Australia
,
Michael A. Borger
1   University Department for Cardiac Surgery, Leipzig Heart Center, Leipzig, Saxony, Germany
› Author Affiliations Funding None.
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Abstract

Iatrogenic aortic dissection (IAD) is a rare but devastating complication in cardiac surgery and related procedures. Due to its rarity, published data on emergency surgery following IAD are limited. Herein, we discuss IAD occurring intra- and postoperatively, including those occurring during transcatheter aortic valve replacement and cardiac catheterization, and present benchmark data from our consecutive, single-center experience. We demonstrate changes in patient characteristics, surgical approaches, and outcomes over a 23-year period.

Keywords

iatrogenic aortic dissection - Type A - complications associated with cardiac surgery


Publication History

Received: 29 October 2021

Accepted: 06 July 2022

Article published online:
15 December 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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