[A case of successful surgical treatment of recrudescent Stanford type A--acute dissection after early thrombogenic closure of dissecting lumen].
A 53-year-old woman was hospitalized with acute chest pain. A CT scan was demonstrated acute type A aortic dissection. The dissecting lumen was already closed with thrombus. A digital subtraction angiography was performed. It showed no intimal tear and a normal aortic figure. She received the medical treatment. On the fourteenth day after her admission, her both femoral arterial pulses were not palpable. A CT scan and an angiogram were performed. The new intimal tear in the ascending aorta was made, and pericardial effusion appeared. With the use of a ringed interluminal graft, an emergency operation was performed. She was discharged in good health. Some cases of early thrombogenic closure of the dissecting lumen in acute aortic dissection were reported. In a few of them, a new intimal tear developed and they lapsed into the recrudescent acute dissection. Thus, more careful medical follow up is necessary in these cases.
Takahara
Y
Y
Department of Cardiovascular Surgery, Chiba Prifectural Cardio Pulmonary Center Tsurumai Hospital, Ichihara, Japan.
Sudo
Y
Y
Murayama
H
H
Sugiura
T
T
Sezaki
T
T
Nakamura
T
T
D000208:Acute Disease; D000784:Aortic Dissection / Q000150:complications / Q000601:surgery*; D001014:Aortic Aneurysm / Q000150:complications / Q000601:surgery*; D001018:Aortic Diseases / Q000150:complications*; D005260:Female; D006801:Humans; D008875:Middle Aged; D013927:Thrombosis / Q000150:complications*