[Emergency distal arch replacement for traumatic thoracic aortic dissection with subarachnoid hemorrhage].
A 77-year-old woman was transferred as traumatic thoracic aortic dissection with subarachnoid hemorrhage soon after a traffic accident. Her consciousness was slightly compromised and cardiogenic shock was developed. Serial computed tomography (CT) scans revealed an unchanging subarachnoid hemorrhage and a progressive mediastinal hemorrhage and pericardial effusion due to traumatic type B aortic dissection. An emergency distal arch replacement was performed under cardiopulmonary bypass 4 hours after the injury. She woke up 3 days after the operation without progression of subarachnoid hemorrhage on a cerebral CT scan. She was discharged 36 days after the injury.
Ishikawa
H
H
Department of Cardiovascular and Thoracic Surgery, Toyohashi Municipal Hospital, Toyohashi, Japan.
Atsuta
S
S
Kobayashi
Y
Y
Ohara
K
K
Narita
K
K
Kobayashi
A
A
Matsumura
Y
Y
Murayama
H
H
D000063:Accidents, Traffic; D000368:Aged; D000784:Aortic Dissection / Q000209:etiology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000209:etiology / Q000601:surgery*; D004630:Emergencies; D005260:Female; D006801:Humans; D013345:Subarachnoid Hemorrhage / Q000150:complications* / Q000209:etiology; D013898:Thoracic Injuries / Q000150:complications*