[Two cases of surgical treatment of recrudescent Stanford type A dissection after early thrombogenic closure without intimal tear].
We reported two cases of thrombosed, Stanford A type acute aortic dissection, initially without intimal tear, later operated upon because of recrudescence. They admitted to our hospital with the symptoms of aortic dissection. Early examination of computed tomography and angiography demonstrated thrombosed type A aortic dissection showing a normal aortic figure, although accompanied by pericardial effusion, that was drainaged. Under strict BP control, however, repeat CT examination revealed recrudescent dissection of ascending aorta, making dissecting aneurysms. Graft replacement of ascending aorta was performed, on the 55th and 153th day after admission, and they were discharged.
Ide
H
H
Department of Thoracic and Cardiovascular Surgery, Kyorin Medical School, Tokyo, Japan.
Sato
M
M
Fujiki
T
T
Tonari
K
K
Mathison
M
M
Sudo
K
K
D000368:Aged; D000784:Aortic Dissection / Q000601:surgery*; D001011:Aorta / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D006801:Humans; D008297:Male; D010490:Pericardial Effusion / Q000209:etiology; D013927:Thrombosis / Q000209:etiology / Q000601:surgery*