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The Journal of Thoracic and Cardiovascular Surgery, Vol 73, 303-305, Copyright © 1977 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Injury to ascending aorta by partial-occlusion clamp during aorta- coronary bypass

IB Boruchow, R Iyengar and JR Jude

Disease of the proximal ascending aortic wall from prolonged, poorly controlled hypertension predisposed to intimal injury after clamp compression. This creates a spectrum of problems: (1) intimal tear with late formation of a localized aneurysm, (2) delayed acute dissecting aneurysm, and (3) intraoperative acute dissecting aneurysm. Principles of management are discussed.

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