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During routine open heart surgery, suboptimal flow in the cardiopulmonary bypass circuit, led to the discovery of a type B aortic dissection with substantial flow in the false lumen. Conservative management was chosen, focusing on blood pressure control in the ICU. Despite an initial uneventful recovery the patient developed malperfusion syndrome prompting consideration of endovascular repair. Following a temporary improvement, malperfusion symptoms recurred, leading to a successful endovascular repair, with complete thrombosis of the false lumen.<\/jats:p>","DOI":"10.1177\/02676591251314762","type":"journal-article","created":{"date-parts":[[2025,1,18]],"date-time":"2025-01-18T07:52:51Z","timestamp":1737186771000},"page":"1714-1716","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Intraoperative iatrogenic type B aortic dissection. 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Iatrogenic acute aortic dissection induced by off-pump coronary artery bypass grifting: a case report and review of the literature. 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