A Successfully Treated Case of Acute Aortic Dissection (Stanford type A) Associated with Multiple Malperfusion Phenomena (Cerebral, Renal, Limb and Visceral Ischemia) / 日本心臓血管外科学会雑誌
Japanese Journal of Cardiovascular Surgery
;
: 404-410, 1995.
Artigo
em Japonês
| WPRIM
| ID: wpr-366176
ABSTRACT
A 34-year-old male patient was admitted to our hospital with sudden onset of severe chest pain. A diagnosis of acute aortic dissection (Stanford type A) was made based on the results of examinations such as CT-scan and angiography. An emergency surgical replacemant of the ascending aorta was carried out. Multiple malperfusion phenomena such as cerebral, renal, right upper extremity and visceral Ischemia appeared postoperatively. With strict conservative therapy and laparotomy (descending colectomy), he survived and was rehabilitated. Acute aortic dissection associated with malperfusion phenomena are frequent and potentially extremely poor complication. Therefore, prognosis is determined by accurate and rapid diagnosis and salvage of the ischemic organs. In treatment of the acute aortic dissection, the control of the blood pressure is important, but also close attention should be paid to sufficient perfusion of the major organs.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Idioma:
Japonês
Revista:
Japanese Journal of Cardiovascular Surgery
Ano de publicação:
1995
Tipo de documento:
Artigo
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