Stanford type A aortic dissection with Child B liver cirrhosis.
Cardiac surgery using cardiopulmonary bypass in patients with advanced liver cirrhosis has been infrequently performed, and reported to be too risky. Aortic dissection accompanied with liver cirrhosis is extremely rare. A 61-year-old woman who had aortic dissection and Child B liver cirrhosis underwent ascending aorta replacement. Liver protection during cardiopulmonary bypass was successfully accomplished by moderate hypothermia and use of an aortic occlusion balloon to maintain sufficient hepatic blood flow.
Matsukuma
Seiji
S
Department of Cardiovascular Surgery, National Hospital Organization, Nagasaki Medical Center, 2-1001-1 Kubara, Omura City, Nagasaki 856-8562, Japan. matsukuma@nmc.hosp.go.jp
Yamaguchi
Hiroshi
H
Hamawaki
Masayoshi
M
D000784:Aortic Dissection / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D001014:Aortic Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D021721:Balloon Occlusion; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects; D002315:Cardiopulmonary Bypass / Q000009:adverse effects; D050792:Circulatory Arrest, Deep Hypothermia Induced; D005260:Female; D006801:Humans; D008102:Liver Circulation; D008103:Liver Cirrhosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D008875:Middle Aged; D012039:Regional Blood Flow; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome