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Aortic Dissection

Complications

  • Redissection
  • Acute aortic regurgitation
  • False aneurysm formation or rupture into:
    • Left pleural space
    • Retroperitoneum
    • Pericardium
    • Abdominal cavity
  • Aneurysmal dilatation [5]
    • The upper descending thoracic aorta is the major site of late aneurysmal dilation.
    • A large upper descending thoracic aorta false lumen diameter on the initial CT portends late aneurysm and adverse outcome warranting early intervention.
  • End-organ ischemia due to involvement of major branches of the aorta
    • MI
    • Stroke
    • Bowel ischemia
    • Renal failure
  • Hemopericardium
  • Cardiac tamponade
  • Superior vena cava syndrome
  • Horner’s syndrome
  • Airway compromise
  • Major causes of perioperative mortality and morbidity
    • MI
    • Paraplegia
    • Renal failure
    • Tamponade
    • Hemorrhage
    • Sepsis

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[ Monitoring ]Complications
Last updated: September 20, 2009
[ Prognosis ]
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