title: A non-operative survival case of an 84-year-old patient with type A acute aortic dissection complicated by pulseless tamponade.
abstract: An 84-year-old woman was hospitalized in hemodynamic shock due to type A acute aortic dissection (AAD) complicated by pulseless tamponade. She was treated conservatively as her family refused emergency surgery. In spite of warning her family that lack of intervention may possibly lead to an early death, she gradually improved and went home without any further problems. Emergency surgery for octogenarians remains controversial, however. We report the first surviving, non-operative case of an octogenarian with pulseless shock due to aortic dissection.
authors.affiliation: Department of Cardiovascular Surgery, Nihon University School of Medicine, Tokyo, Japan.
authors.forename: Mitsumasa
authors.initials: M
authors.lastname: Hata
authors.forename: Akira
authors.initials: A
authors.lastname: Sezai
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Iida
authors.forename: Masataka
authors.initials: M
authors.lastname: Yoda
authors.forename: Michio
authors.initials: M
authors.lastname: Funahashi
authors.forename: Shinji
authors.initials: S
authors.lastname: Wakui
authors.forename: Ichiro
authors.initials: I
authors.lastname: Nohata
authors.forename: Motomi
authors.initials: M
authors.lastname: Shiono
authors.forename: Kazutomo
authors.initials: K
authors.lastname: Minami
mesh_terms: D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000150:complications*; D001014:Aortic Aneurysm / Q000150:complications*; D009320:Atrial Natriuretic Factor / Q000627:therapeutic use; D002305:Cardiac Tamponade / Q000188:drug therapy* / Q000209:etiology*; D002316:Cardiotonic Agents / Q000627:therapeutic use*; D004232:Diuretics / Q000627:therapeutic use; D004298:Dopamine / Q000627:therapeutic use; D005260:Female; D006801:Humans; D009638:Norepinephrine / Q000627:therapeutic use; D011674:Pulse; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D016312:Treatment Refusal
chemical_list: D002316:Cardiotonic Agents; D004232:Diuretics; D009320:Atrial Natriuretic Factor; D004298:Dopamine; D009638:Norepinephrine