An Elderly Case of Ruptured Aortic Arch Aneurysm with Hemorrhagic Cardiac Tamponade
10.4326/jjcvs.36.153
- VernacularTitle:心タンポナーデを伴った高齢者（８２歳）弓部大動脈瘤心嚢内破裂の１救命例
- Author:
Yasuyuki Yamada
;
Yoshihiko Mochizuki
;
Yoshiei Shimamura
;
Kunihiro Eda
;
Ikuko Shibasaki
;
Yuhou Inoue
;
Shinichiro Miyoshi
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2007;36(3):153-156
- CountryJapan
- Language:Japanese
-
Abstract:
An 82-year-old man was taken to a local clinic following the occurrence of syncope. Chest roentgenography and computed tomography (CT) findings led to a suspicion of a ruptured aortic aneurysm, and the patient was immediately transferred to our hospital. Upon admission, his consciousness was clear and blood pressure was 74/47mmHg. Enhanced chest CT images demonstrated pericardial effusion and a saccular aneurysm with a maximum diameter of 5cm, which was associated with a thrombus in the distal aortic arch. An emergency operation was performed under a diagnosis of a ruptured distal aortic arch aneurysm and hemorrhagic cardiac tamponade. During the procedure, a hole was found in the lesser curvature of the aneurysm, which had directly ruptured into the pericardial space, and a graft replacement of the aortic arch was performed using selective cerebral perfusion. The patient was discharged 19 days after surgery without any postoperative complications.
