A Case of Open Stent Grafting for Type B Acute Aortic Dissection Complicated with Abdominal Angina
10.4326/jjcvs.35.304
- VernacularTitle:くり返すａｂｄｏｍｉｎａｌ ａｎｇｉｎａを有した急性ＩＩＩｂ型大動脈解離に対して準緊急手術を施行した１例
- Author:
Norimitsu Shimada
;
Naomichi Uchida
;
Hidenori Shibamura
;
Hiroshi Iwako
;
Masamichi Ozawa
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2006;35(5):304-307
- CountryJapan
- Language:Japanese
-
Abstract:
Acute aortic dissection is a formidable disease because of complications such as rupture or visceral ischemia. Early diagnosis of these conditions is essential. The patient was a 40-year-old woman with acute type B aortic dissection, suspected to have Marfan syndrome. We first treated her with medical therapy, but 5 days later she suffered from repeated abdominal angina. This was thought to be probably predictive of malperfusion, so we decided to perform an operation. We maintained an elevated blood pressure (about 140mmHg), used heparin and Prostaglandin E1 for the prevention of angina, until total aortic arch replacement and open stent grafting was performed. She has been doing well since.
