[Preoperative pulseless electrical activity of acute type A aortic dissection; report of a case].
Kyobu Geka
; 60(13): 1192-5, 2007 Dec.
Article
en Ja
| MEDLINE
| ID: mdl-18078089
ABSTRACT
An 80-year-old man with acute type A aortic dissection, who was preoperatively observed in the intensive care unit, suddenly became unresponsive. The patient was immediately intubated, but a pulse check was delayed because the cardiac monitor seemingly showed a normal sinus rhythm. Bedside echocardiography, while continuing cardiopulmonary resuscitation, revealed massive pericardial effusion. It indicated the patient's cardiac arrest was pulseless electrical activity (PEA) due to cardiac tamponade. After pericardiocentesis, a perfusion rhythm was restored with palpable distal pulse. He successfully underwent a prosthetic graft replacement of the ascending aorta and was discharged after physical rehabilitation.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Disección Aórtica
Límite:
Aged80
/
Humans
/
Male
Idioma:
Ja
Revista:
Kyobu Geka
Año:
2007
Tipo del documento:
Article
País de afiliación:
Japón