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Acute ascending aortic dissection during transaortic balloon-expandable aortic valve implantation  Augusto D'Onofrio, MD, Chiara Tessari, MD, Roberto.

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Presentation on theme: "Acute ascending aortic dissection during transaortic balloon-expandable aortic valve implantation  Augusto D'Onofrio, MD, Chiara Tessari, MD, Roberto."— Presentation transcript:

1 Acute ascending aortic dissection during transaortic balloon-expandable aortic valve implantation 
Augusto D'Onofrio, MD, Chiara Tessari, MD, Roberto Bianco, MD, Giambattista Isabella, MD, Guido Di Gregorio, MD, Gino Gerosa, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 144, Issue 3, Pages e97-e99 (September 2012) DOI: /j.jtcvs Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 Intraoperative echocardiogram showing the intimal flap in the ascending aorta that appeared soon after sheath removal and purse-string tightening. The Journal of Thoracic and Cardiovascular Surgery  , e97-e99DOI: ( /j.jtcvs ) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 Intraoperative view. A, The intimal tear causing the acute aortic dissection is on the anterior portion of the ascending aorta at the site of the sheath insertion. B, The Sapien XT bioprosthesis appears correctly positioned and the dissection does not involve the aortic root. The Journal of Thoracic and Cardiovascular Surgery  , e97-e99DOI: ( /j.jtcvs ) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions


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