[A surgical treatment of ruptured aortic dissection with non-opacified false lumen].
A 63-year-old woman was admitted to our intensive care unit suffering from severe chest pain and shock. Emergency CT scan demonstrated an acute type A aortic dissection with non-opacified false lumen and cardiac tamponade. The aortography showed ulcer like projection at the ascending aorta. An emergency operation was performed to replace the ascending aorta with a woven double-velour Dacron graft of 30 mm in diameter. It seems that an acute type A aortic dissection with non-opacified false lumen has good prognosis. The presence of other complications, however, suggests that surgical treatment should be decided upon at an early stage.
Sakamoto
Y
Y
Department of Cardiovascular Surgery, Saku Central Hospital, Nagano, Japan.
Ohnishi
K
K
Saito
F
F
Kurasawa
H
H
D000784:Aortic Dissection / Q000473:pathology / Q000601:surgery*; D001011:Aorta / Q000601:surgery; D001019:Aortic Rupture / Q000473:pathology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D002305:Cardiac Tamponade / Q000209:etiology / Q000601:surgery*; D004630:Emergencies; D005260:Female; D006801:Humans; D008875:Middle Aged