[A successful emergency operation of acute aortic dissection (DeBakey I) with aortic root rupture and right coronary avulsion].
We report a successful emergency operation for a patient of acute aortic dissection with cardiogenic shock. A 73-year-old man was admitted to our hospital with a complaint of severe chest pain. The emergency aortography and echocardiography demonstrated aortic dissection (DeBakey I) with aortic valve regurgitation and massive pericardial effusion. The emergency operation started 2 hours after the onset. We performed reconstruction of ascending aorta and aortic valve using composite graft, since the patient had aortic root rupture and right coronary avulsion. Subsequently, the right coronary bypass grafting of saphenous vein was performed in addition to the reimplantation of left coronary artery by carrel patch method. The postoperative course was uneventful and the patient remains asymptomatic.
Suda
H
H
Watanabe
K
K
Ohteki
H
H
Natsuaki
M
M
Itoh
T
T
D000208:Acute Disease; D000368:Aged; D000784:Aortic Dissection / Q000150:complications / Q000601:surgery*; D001019:Aortic Rupture / Q000150:complications / Q000601:surgery*; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000150:complications / Q000601:surgery*; D004630:Emergencies; D006801:Humans; D008297:Male; D012422:Rupture, Spontaneous