title: Successful surgical treatment for impending rupture in acute type A dissecting aneurysm complicated with a thoracoabdominal aortic aneurysm in an octogenarian.
abstract: 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.
authors.affiliation: Department of Cardiovascular Surgery, Graduate School of Medicine, Tohoku University, 1-1 Seiryomachi, Aoba-ku, Sendai 980-8574, Japan.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Saito
authors.forename: Hiroji
authors.initials: H
authors.lastname: Akimoto
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Oda
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Yamaya
authors.forename: Koichi
authors.initials: K
authors.lastname: Tabayashi
mesh_terms: 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