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Management of intraoperative aortic dissection with a direct cannulation on the intimal flap

Department of Cardio-Thoracic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, Japan

^* Corresponding author. Tel.: +81-52-744-2376; fax: +81-52-744-2383
smizutan{at}med.nagoya-u.ac.jp

We report a case of severe aortic stenosis in which intraoperative aortic dissection developed from aortic cross-clamp. The patient showed symptoms of malperfusion, but was successfully managed by direct inflow cannulation on the intimal flap into the true lumen. She then recovered well without further incident.

Key Words: Surgical complication; Aortic dissection; Cannulation; True lumen