title: Successful staged operation for acute type A aortic dissection with paraplegia.
abstract: A 75-year-old man presented with both paraplegia and acute occlusion of the abdominal aorta at onset. Extraanatomical bypass was performed following spinal drainage. After 3 days, the ascending aorta replaced under cardiopulmonary bypass using the extraanatomical bypass graft for arterial cannulation. The abdominal aorta was replaced after 6 months. A staged operation is one of the options for acute aortic dissection with paraplegia and acute occlusion of the abdominal aorta.
authors.affiliation: Department of Cardiovascular Surgery, St. Marianna University School of Medicine, Kanagawa, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Ando
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Abe
authors.forename: Tokuichiro
authors.initials: T
authors.lastname: Nagata
authors.forename: Haruo
authors.initials: H
authors.lastname: Makuuchi
mesh_terms: D000208:Acute Disease; D000368:Aged; D000784:Aortic Dissection / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D008297:Male; D010264:Paraplegia / Q000175:diagnosis / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Aneurysm; aortic aneurysm; dissecting; paraplegia; vascular surgical procedures