A non-operative survival case of an 84-year-old patient with type A acute aortic dissection complicated by pulseless tamponade.
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.
Hata
Mitsumasa
M
Department of Cardiovascular Surgery, Nihon University School of Medicine, Tokyo, Japan.
Sezai
Akira
A
Iida
Mitsuru
M
Yoda
Masataka
M
Funahashi
Michio
M
Wakui
Shinji
S
Nohata
Ichiro
I
Shiono
Motomi
M
Minami
Kazutomo
K
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
D002316:Cardiotonic Agents; D004232:Diuretics; D009320:Atrial Natriuretic Factor; D004298:Dopamine; D009638:Norepinephrine