A Report of Successful Treatment of an Acute Aortic Dissection Associated with a Long-Term Steroid Therapy for Hypopituitarism
10.4326/jjcvs.32.158
- VernacularTitle:ステロイド長期連用中の下垂体機能不全症に合併した急性大動脈解離の１治験例
- Author:
Masao Tayama
;
Nobuo Sakagoshi
;
Harumasa Yasuda
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2003;32(3):158-160
- CountryJapan
- Language:Japanese
-
Abstract:
A 58-year-old man was admitted with a diagnosis of an acute Stanford type A aortic dissection after 20-year-long steroid therapy for hypopituitarism. The graft replacement of the ascending aorta was performed as an emergency procedure under deep hypothermic selective cerebral perfusion. We administered 1, 000mg of methylprednisolone during cardiopulmonary bypass, injected 500mg/day of hydrocortisone during postoperative day 1 to 4, and then administered orally 40mg/day of hydrocortisone. Then 200μg of levothyroxine sodium was given orally from postoperative day 6. There are some reports about acute aortic dissection associated with long-term steroid therapy in SLE or aortitis syndrome, but reports involving hypopituitarism are very rare.
