[Emergency operation and hypothermic therapy for Stanford type A acute aortic dissection in the state of coma].
Kyobu Geka
; 63(12): 1032-4, 2010 Nov.
Article
em Ja
| MEDLINE
| ID: mdl-21066842
ABSTRACT
We report of a 77-year-old woman who was admitted to our hospital in coma by emergency. A computed tomography scan revealed acute aortic dissection (Stanford type A). We established selective antegrade cerebral perfusion within 3 hours of the onset and then performed ascending aortic replacement. In the state of hypothermia (35 degrees C), the patient was weaned from cardiopulmonary bypass. The patient was kept hypothermic until the operation was completed. We kept mild hypothermia (34.5 degrees C) in intensive care unit (ICU) for 40 hours. The patient was extubated at 94 hours after the operation. The patient was discharged from the hospital on foot on postoperative day 21.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Aneurisma Aórtico
/
Dissecção Aórtica
Limite:
Aged
/
Female
/
Humans
Idioma:
Ja
Ano de publicação:
2010
Tipo de documento:
Article