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Iatrogenic Aortic Root and Left Main Dissection in CABG Surgery: An Unconventional Fix
This case describes a 74-year-old woman whose routine coronary bypass graft surgery was complicated with the rare and potentially lethal aortic root and left main dissection. Disaster for this patient was averted by a simple surgical technique, instead of the usually required aortic root replacement. The mechanism of dissection and surgical solution are explained with the aid of pre-, intra-, and post-operative echocardiographic and angiography videos and diagrams. This simple surgical technique of "carving an ellipse" from a densely calcified coronary artery in order to perform a bypass can be a useful technique in the armamentarium of cardiac surgical procedures. Subsequent cases of severely calcified coronary arteries are now addressed with this technique.
This video was originally presented at the 2013 EACTS Meeting in Vienna, Austria.