Successful Treatment of Acute Type A Aortic Dissection with Intestinal Necrosis.
10.4326/jjcvs.31.347
- VernacularTitle:腸管壊死を合併したA型急性大動脈解離の1手術治験例
- Author:
Yoshitsugu Nakamura
;
Motomi Ando
;
Osamu Tagusari
;
Hitoshi Ogino
;
Hiroaki Sasaki
;
Yuji Hanafusa
;
Soichiro Kitamura
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2002;31(5):347-349
- CountryJapan
- Language:Japanese
-
Abstract:
A 59-year-old man presented with severe abdominal pain. CT scan showed a type A aortic dissection and pericardial effusion. As cardiac tamponade was present, emergency total arch replacement was performed. Because of his symptom, we added an exploratory laparotomy, which revealed intestinal necrosis. Therefore, necrotic intestine 4.5m in length was resected. After intensive care, he began oral feeding on the 25th day and was discharged on the 76th day postoperatively.