A Case Report of Type A Acute Dissection of the Aorta Superimposed on Pre-Existing Post-Stenotic Dilatation.

VernacularTitle:拡張した大動脈壁に発生した急性Ａ型大動脈解離の１治験例
Author: Yoshio MISAWA ; Tsuguo HASEGAWA ; Kazuhiro SAKATA ; Morito KATO ; Kanae FUKUSHIMA
Publication Type:Journal Article
From:Japanese Journal of Cardiovascular Surgery 1992;21(2):191-194
CountryJapan
Language:Japanese
Abstract: Fifty-two year-old woman was operated for type A acute dissection of the aorta superimposed on pre-existing post-stenotic dilatation dut to congenital aortic valve stenosis. The left main coronary artery was discontinued by dissection. Aortic valve replacement, replacement of ascending aorta by woven-Dacron graft and saphenous vein graft between the left anterior discending artery and the prosthetic graft. Compression gauze around the site of the anastomoses and the prosthetic graft was useful to control of intractable bleeding. The gauze could be extracted twenty-eight hours after the operation by platelet and plasma transfusion. She was well eleven months after the operation.