Yefferson D. Salinas-Herrera, Servicio de Cirugía Cardiovascular, Hospital Universitario Los Comuneros, Bucaramanga, Colombia
Julián M. Parada-Duarte, Servicio de Cirugía Cardiovascular, Hospital Universitario Los Comuneros, Bucaramanga, Colombia
Jorge A. Marthey-Tello, Servicio de Cirugía Cardiovascular, Hospital Universitario Los Comuneros, Bucaramanga, Colombia
Silvia P. Torres-Durán, Servicio de Radiología, Universidad de Santander (UDES). Bucaramanga, Colombia
Acute aortic dissection represents a highly lethal cardiovascular emergency, characterized by the progressive separation of the layers of the aorta due to the formation of a column of blood. Associated cardiac complications are rapidly evolving and can be fatal, including cardiac tamponade, compression of the coronary ostium by the false lumen, and acute aortic insufficiency. It is estimated that surgical mortality in type A aortic dissection is higher than in cases of complications in cardiac surgery due to iatrogenic aortic dissection. In this context, we present the case of a 71-year-old patient with severe three-vessel coronary disease, who underwent myocardial revascularization surgery, and during cardiopulmonary bypass, a type A aortic dissection was identified and successfully managed.
Keywords: Heart surgery. Acute aortic dissection. Complications. Coronary heart disease.
