Litchford B, Okies J E, Sugimura S, Starr A
J Thorac Cardiovasc Surg. 1976 Nov;72(5):709-13.
Acute dissection of the ascending aorta secondary to cross-clamp injury can be successfully managed if the problem is recognized immediately. Bypass must be instituted after recannulation at a point distal to the innominate artery so that proper exposure of the site of injury can be obtained. Systemic as well as local hypothermia for myocardial preservation are both necessary. Direct suture closure of all layers at the site of dissection over Teflon felt can terminate this process.
如果能立即识别出问题，继发于交叉钳夹损伤的升主动脉急性夹层可以得到成功处理。必须在无名动脉远端重新插管后建立旁路，以便能够充分暴露损伤部位。全身低温及局部低温用于心肌保护都是必要的。在聚四氟乙烯毡片上对夹层部位的所有层面进行直接缝合闭合可终止这一过程。
