Early Postoperative Descending Aortic Rupture Following Ascending Aorta Replacement for Acute Type A Aortic Dissection
10.4326/jjcvs.40.302
- VernacularTitle:上行大動脈人工血管置換術を施行した Stanford A 型急性大動脈解離の術後早期に下行大動脈破裂を認めた1症例
- Author:
Norio Mouri
;
Takeshi Shimamoto
;
Genichi Sakaguchi
;
Tatsuhiko Komiya
- Publication Type:Journal Article
- Keywords:
acute type A dissection;
descending aorta rupture;
patent false lumen
- From:Japanese Journal of Cardiovascular Surgery
2011;40(6):302-305
- CountryJapan
- Language:Japanese
-
Abstract:
We report the findings in an 82-year-old man diagnosed with acute type A aortic dissection. Computed tomography scan showed that the primary entry site was located in the ascending aorta. This finding was confirmed intraoperatively, and emergency ascending aorta replacement of ascending aorta was performed. He subsequently died on postoperative 7 day due to descending aortic rupture. During autopsy, another entry site was found at the root of the brachiocephalic trunk with a patent false lumen, which might have led to the descending aortic rupture.
