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Increased incidence of acute ascending aortic dissection with off-pump aortocoronary bypass surgery?  Olivier Chavanon, MD, Michel Carrier, MD, Raymond.

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Presentation on theme: "Increased incidence of acute ascending aortic dissection with off-pump aortocoronary bypass surgery?  Olivier Chavanon, MD, Michel Carrier, MD, Raymond."— Presentation transcript:

1 Increased incidence of acute ascending aortic dissection with off-pump aortocoronary bypass surgery? 
Olivier Chavanon, MD, Michel Carrier, MD, Raymond Cartier, MD, Yves Hébert, MD, Michel Pellerin, MD, Pierre Pagé, MD, Louis P Perrault, MD, PhD  The Annals of Thoracic Surgery  Volume 71, Issue 1, Pages (January 2001) DOI: /S (00)

2 Fig 1 Intimal trauma after application of aortic sideclamp.
The Annals of Thoracic Surgery  , DOI: ( /S (00) )

3 Fig 2 Aortic laceration at the site of proximal anastomosis resulting in aortic dissection and death on postoperative day 5 after off-pump coronary artery bypass. The Annals of Thoracic Surgery  , DOI: ( /S (00) )

4 Fig 3 Histological examination showing the laceration of the aortic wall in dissection of the ascending aorta after off-pump coronary artery bypass surgery (Movat pentachrome stain, original magnification × 10). The Annals of Thoracic Surgery  , DOI: ( /S (00) )

5 Fig 4 Microscopic examination showing aortic cystic degeneration of the elastic lamellae and smooth muscle cells with Movat pentachrome staining in the ascending aorta in the same patient (original magnification × 200). The Annals of Thoracic Surgery  , DOI: ( /S (00) )

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