Successful surgical treatment for impending rupture in acute type A dissecting aneurysm complicated with a thoracoabdominal aortic aneurysm in an octogenarian.
Emergency or urgent thoracoabdominal aortic replacement in octogenarians has high morbidity and mortality rates due to decrease in the potential of other organs because of their age and the high invasiveness. Here, report a case of an 81-year-old woman who was diagnosed as having an impending rupture in an acute type A dissecting aneurysm complicated with a thoracoabdominal aortic aneurysm, who was rescued successfully by replacement of the thoracoabdominal aorta, under epidural perfusion cooling.
Saito
Takeshi
T
Department of Cardiovascular Surgery, Graduate School of Medicine, Tohoku University, 1-1 Seiryomachi, Aoba-ku, Sendai 980-8574, Japan.
Akimoto
Hiroji
H
Oda
Katsuhiko
K
Yamaya
Kazuhiro
K
Tabayashi
Koichi
K
D000368:Aged; D000369:Aged, 80 and over; D001011:Aorta / Q000601:surgery; D001012:Aorta, Abdominal / Q000601:surgery; D001013:Aorta, Thoracic / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001019:Aortic Rupture / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D004630:Emergencies; D005260:Female; D006801:Humans; D007036:Hypothermia, Induced / Q000379:methods