Case of Sudden Death from Retrograde Type A Dissection Two Days after Surgery for a Type B Dissecting Aneurysm
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概要
- 論文の詳細を見る
A 64-year-old man underwent a descending aortic replacement for a chronic type B dissecting aneurysm with left thoracotomy. The patient was weaned from the mechanical ventilator immediately after surgery without any neurological complications. However, on the second post-operative day, he suddenly suffered from cardiopulmonary arrest when talking with his family. Despite 6 hours of cardiopulmonary resuscitation, the patient died. The postmortem examination revealed a 1000 mL blood volume and huge hematoma in the pericardium owing to a retrograde type A dissection, which descended from an intimal laceration between the common carotid and left subclavian arteries that corresponded with aortic cross clamping. We here report a rare case of iatrogenic retrograde type A dissection caused by surgical clamping on the aortic arch 2 days post-surgery.
- Annals of Thoracic and Cardiovascular Surgery 編集委員会の論文
著者
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Hata Mitsumasa
Department Of Cardiac Surgery Austin & Repatriation Medical Centre University Of Melbourne
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Orime Yukihiko
Department Of Cardiovascular Surgery Nihon University School Of Medicine
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Wakui Shinji
Department Of Cardiovascular Surgery Nihon University School Of Medicine
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Akiyama Kenji
Department Of Cardiovascular Surgery Nihon University Nerima Hikarigaoka Hospital
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Shiono Motomi
Department Of Cardiovascular Surgery Nihon University School Of Medicine
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Shiono Motomi
Department of Cardiovascular Surgery, Surugadai Nihon University Hospital, Tokyo, Japan
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Hata Mitsumasa
Department of Cardiovascular Surgery, Surugadai Nihon University Hospital, Tokyo, Japan
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