title: A successful surgical case of an 80-year-old patient with type A acute aortic dissection complicated by preoperative multiple organ failure.
abstract: An 80-year-old woman was hospitalized in a state of shock accompanied by blood acidosis due to type A acute aortic dissection complicated by respiratory, liver, and kidney failure. A warning was given to her family that lack of intervention may possibly lead to an early death, and permission for the intervention was obtained. After undergoing a "less invasive quick replacement (LIQR)," a newly modified procedure that we had developed, the patient improved gradually, went home without any complications, and continues to be well. Emergency surgery for octogenarians remains controversial, particularly for patients with a preoperative, compassionate indication. Here, we report a survival case for an emergency operation using LIQR to treat an octogenarian diagnosed with type A acute aortic dissection complicated by multiple organs failure.
authors: Department of Cardiovascular Surgery, Nihon University School of Medicine, Tokyo, Japan. mihata@med.nihon-u.ac.jp
authors: Mitsumasa
authors: M
authors: Hata
authors: Akira
authors: A
authors: Sezai
authors: Isamu
authors: I
authors: Yoshitake
authors: Shinji
authors: S
authors: Wakui
authors: Ayako
authors: A
authors: Takasaka
authors: Takashi
authors: T
authors: Ino
authors: Motomi
authors: M
authors: Shiono
mesh_terms: D000208:Acute Disease; D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001014:Aortic Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D006801:Humans; D009102:Multiple Organ Failure / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome