The diagnosis and management of aortic dissection occurring years after open heart surgery

Aortic dissection occurring after open heart surgery is an uncommon but wel l recognized complication. Unfortunately, it is associated with a high morb idity and mortality. Pre-existing aortic wall pathology, intraoperative aor tic manipulations and hypertension are known to predispose to the developme nt of this condition. We report a case of aortic dissection occurring 2 yea rs after coronary artery bypass surgery and complicated by acute saphenous vein graft occlusion and severe mitral insufficiency. We review the diagnos is and management of this complication.