Emergency Repair of Acute Aortic Dissection in a Patient with Relapsing Polychondritis
スポンサーリンク
概要
- 論文の詳細を見る
Relapsing polychondritis (RP) is a rare, inflammatory, multiorgan disorder affecting cartilaginous structure and other connective tissue. Cardiovascular complications occur in 10%–52% of patients. We report a case of emergency surgery for an acute aortic dissection in a patient with RP. A 45-year-old female who had been taking corticosteroids (10 mg/day) for 2 years for RP presented at another hospital with dyspnea and severe chest and back pain. Acute aortic dissection was diagnosed, and we performed emergency replacement of the ascending aorta. We could not control the bleeding from suture holes of the native aorta because the vessel was so fragile. Thus, we performed a delayed sternal closure. The day after surgery, bleeding had decreased, and we could close the chest wall. Infection was well controlled, and the patient suffered minimal additional complications. She was discharged to home by herself 29 days after surgery and returned to normal life.
著者
-
Iida Mitsuru
Department Of Cardiovascular Surgery Nihon University School Of Medicine
-
Umeda Tomofumi
Department Of Cardiovascular Surgery Nihon University School Of Medicine
-
ISHII Yusuke
Department of Applied Chemistry, Faculty of Science, Science University of Tokyo
-
Orime Yukihiko
Department Of Cardiovascular Surgery Nihon University School Of Medicine
-
Shiono Motomi
Department Of Cardiovascular Surgery Nihon University School Of Medicine
-
Ishii Yusuke
Department of Cardiovascular Surgery, Surugadai Nihon University Hospital, Tokyo, Japan
-
Iida Mitsuru
Department of Cardiovascular Surgery, Surugadai Nihon University Hospital, Tokyo, Japan
関連論文
- Prognosis for Patients With Type B Acute Aortic Dissection : Risk Analysis of Early Death and Requirement for Elective Surgery
- Surgical Treatment of 22 Cardiac Myxomas : A Review
- Should Use of the Internal Thoracic Artery be Avoided Under Conditions of Low Free Flow? Postoperative Hemodynamic Assessment Using Pulsed Doppler Echocardiography
- Spontaneous Recanalization of Postoperative Severe Graft Stenosis. What is the Cause and Prognosis of the "String Sign" in the Internal Thoracic Artery?
- Effects of Phosphodiesterase Inhibitors After Coronary Artery Bypass Grafting
- Effects of Concomitant Usage of Milrinone and Catecholamine for Weaning from Cardiopulmonary Bypass
- Left Atrial Myxoma with an Atrial Septal Defect : A Case Report and Review of the Literature
- Twenty-Year Follow-up of Aortocoronary Bypass Surgery
- The Efficacy and Mid-term Results with Use of Gelatin Resorcin Formalin (GRF) Glue for Aortic Surgery
- Doppler Features of Occlusion of the Internal Thoracic Artery due to Preoperative Branch Embolization
- Clinical Use of Jostra Rota Flow Centrifugal Pump : The First Case Report in Japan
- Retrospective analysis of the clinical trends and current indications for perioperative intraaortic balloon pumping in high-risk coronary artery bypass surgery
- A Transesophageal Echocardiographic and Cine-Fluoroscopic Evaluation of an ATS Prosthetic Valve Opening
- Vascular Protecting Effect of Angiotensin Receptor Blocker (ARB) on the Radial Artery Graft
- Prophylactic Reoperation after Mitral Valve Replacement with the Starr-Edwards Ball Valve : A Report of Four Cases
- Estimation of Cardiac Function with Rotary Blood Pump
- A Surgical Case of Left Ventricular Pseudoaneurysm Complicating Myocardial Infarction in a Diabetic Patient on Dialysis
- PJ-552 Evaluation Study on the Quietness of the ATS Valve's Sound(Valvular heart disease/Pericarditis/Cardiac tumor-4, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- Efficacy of a Proton Pump Inhibitor Given in the Early Postoperative Period to Relieve Symptoms of Hiatal Hernia After Open Heart Surgery
- Prospective Randomized Trial for Optimal Prophylactic Treatment of the Upper Gastrointestinal Complications After Open Heart Surgery
- Statin Therapy Reduce the Incidence of Atrial Fibrillation after Coronary Artery Bypass Graft Surgery (Arrhythmia, Pharmacological Therapy 3 (A), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Radial Artery Harvest Using the Sharp Scissors Method for Patients with Pathological Findings on Allen's Test
- A Non-Operative Survival Case of an 84-Year-Old Patient with Type A Acute Aortic Dissection Complicated by Pulseless Tamponade
- 40 Years Experience in Mitral Valve Replacement Using Starr-Edwards, St. Jude Medical and ATS Valves
- Risk Analysis for Depression and Patient Prognosis After Open Heart Surgery
- Efficacy of Low-Dose Continuous Infusion of α-Human Atrial Natriuretic Peptide (hANP) During Cardiac Surgery : Possibility of Postoperative Left Ventricular Remodeling Effect
- Efficacy of Continuous Low-Dose Human Atrial Natriuretic Peptide Given from the Beginning of Cardiopulmonary Bypass for Thoracic Aortic Surgery
- Reoperation for Ascending Aortic Aneurysm, Coronary Ostial Aneurysm and Patent Cabrol Trick After Bentall Operation for Aortitis Syndrome
- Valve Dysfunction of the Cloth-Covered Starr-Edwards Ball Valve : Analysis of Excised Valve Findings at Reoperation
- Successful Surgical Treatment of Rupture of Coronary Arteriovenous Fistula with Unconsciousness after Chest and Back Pain
- Efficacy of Continuous Cleansing with Teicoplanin on Post-CABG Methicillin-resistant Staphylococcus Aureus (MRSA) Mediastinitis : Report of a Case
- 1 Surgical Management and Strategy for Type A Aortic Dissection(Meet the Expert 5 (ME5) (H) : Aortic Aneurysm)(Special Program)
- N,N'-Dialkyldiamide-Type Phosphate Protecting Groups for Fmoc Synthesis of Phosphotyrosine-Containing Peptides: Optimization of the Alkyl Group^
- Clinical Trends in Optimal Treatment Strategy for Type A Acute Aortic Dissection
- Amide-type Phosphate Protecting Group for Phosphopeptide Synthesis
- Two Cases of Quadricuspid Aortic Valve : Preoperative Diagnosis and Surgical Treatment
- Pathological Findings of Tissue Reactivity of Gelatin Resorcin Formalin Glue : An Autopsy Case Report of the Repair of Ventricular Septal Perforation
- Mid-term Results of ATS Open Pivot Bileaflet Mechanical Prosthetic Heart Valve
- Congenital Coronary Artery Fistula Treated Surgically in the Right Atrium and the Atrial Septum
- Post-operative Effects of Olprinone after Coronary Artery Bypass Grafting
- A Case of Transient Bioprosthetic Valve Regurgitation and Hemolysis Devoloping Early after Surgery Using Carpentier-Edwards Valve
- Evaluation of St. Jude Medical Valve's Long-term Function by Doppler Echocardiography
- Surgical Treatment for Innominate Artery Aneurysm with a Coronary Pulmonary Artery Fistula : A Case Report
- Outcome of Emergency Conventional Coronary Surgery for Acute Coronary Syndrome Due to Left Main Coronary Disease
- A Case of Aortic Valve Replacement with St. Jude Medical Regent Valve (First Implant in Japan)
- Current Status of The Baylor Artificial Heart
- Surgical Results in Acute Type A Aortic Dissection
- Coronary Artery Surgery Results 2005 in Japan
- Coronary Artery Surgery Results 2002 in Japan
- Long-Term Patency Rate for Radial Artery vs. Saphenous Vein Grafts Using Same-Patient Materials
- Analysis of the energy efficiency and the amount of carbon dioxide emission based on the person trip survey data in case of commuting and schooling trips
- Surgery for acute aortic dissection using gelatin-resorcin-formalin glue : perspective from 10 years of follow-up at a single center
- Efficacy of Prophylactic Treatment with Selective Serotonin Reuptake Inhibitors for Depression After Open-Heart Surgery
- Coronary Artery Surgery Results 2000
- Primary Infected Abdominal Aortic Aneurysm : Surgical Procedures, Early Mortality Rates, and a Survey of the Prevalence of Infectious Organisms over a 30-year Period
- Myocardial Protective Effect of Human Atrial Natriuretic Peptide in Cardiac Surgery : "hANP Shot" in Clinical Safety Trial
- Child with Fulminant Myocarditis Survived by ECMO Support : Report of a Child Case
- Evaluation of a New Device for the Intraoperative Assessment of Coronary Artery Bypasses Grafting
- Low-dose Atrial Natriuretic Peptide for Chronic Kidney Disease in Coronary Surgery
- A Successful Surgical Case of an 80-year-old Patient with Type A Acute Aortic Dissection Complicated by Preoperative Multiple Organ Failure
- Effects of Olmesartan on the Renin-angiotensin-aldosterone System for Patients with Essential Hypertension after Cardiac Surgery : Investigation Using a Candesartan Change-over Study
- A Surgical Case of Mitral Regurgitation due to Active Infective Endocarditis with Idiopathic Thrombocytopenic Purpura
- Sleep disorders and aortic dissection in a working population
- The effect of combined treatment with Impella^【○!R】and landiolol in a swine model of acute myocardial infarction
- Concomitant aortic valve and ascending aorta replacement with moderate hypothermic circulatory arrest to treat an aortic bicuspid valve with post-stenotic dilatation
- Emergency Repair of Acute Aortic Dissection in a Patient with Relapsing Polychondritis
- Novel Device Accurately Measures Graft Resistance and Compliance to Ensure Quality of Coronary Artery Bypass
- Emergency Coronary Artery Bypass Grafting after Substernal Gastric Tube Interposition for Esophageal Cancer
- Comparison of Febuxostat and Allopurinol for Hyperuricemia in Cardiac Surgery Patients (NU-FLASH Trial)
- Does Warfarin Help Prevent Ischemic Stroke in Patients Presenting with Post Coronary Bypass Paroxysmal Atrial Fibrillation?
- Case of Sudden Death from Retrograde Type A Dissection Two Days after Surgery for a Type B Dissecting Aneurysm
- Lobar emphysema with pneumothorax in an adult : report of a case
- Arrhythmia and sleep-disordered breathing in patients undergoing cardiac surgery
- Comparison of Febuxostat and Allopurinol for Hyperuricemia in Cardiac Surgery Patients (NU-FLASH Trial)
- Atrial Fibrillation After Cardiac Surgery