title: [Successful surgical treatment of an acute type-A aortic dissection complicated with pericardial tamponade and ST-segment elevation . Case report].
abstract: Successful treatment of type A acute aortic dissection depends on the promptness of diagnostic evaluation and therapy. Fast diagnosis can be challenged by numerous complications such as myocardial ischemia, acute aortic insufficiency, and disturbances in organ perfusion and pericardial tamponade. The authors report the case history of a 72-year-old woman, who was admitted after resuscitation with ST segment elevation. Echocardiography revealed acute type A aortic dissection with signs of pericardial tamponade. An emergency operation consisting of the resection of the ascending aorta and the reconstruction of the aortic root was performed, which took six hours from admission until the end of the operation. Follow-up examinations demonstrated good left ventricular function and competent aortic valve. The authors propose that with the development of diagnostic and therapeutic options, faster and less invasive interventions will be introduced in near future for the treatment of acute aortic dissection, which may reduce the morbidity and mortality rates of this lethal illness.
authors.affiliation: Semmelweis Egyetem, Általános Orvostudományi Kar Városmajori Szív- és Érgyógyászati Klinika Budapest Városmajor u. 68. 1122.
authors.forename: Miklós
authors.initials: M
authors.lastname: Pólos
authors.affiliation: Semmelweis Egyetem, Általános Orvostudományi Kar Városmajori Szív- és Érgyógyászati Klinika Budapest Városmajor u. 68. 1122.
authors.forename: Zoltán
authors.initials: Z
authors.lastname: Szabolcs
authors.affiliation: Semmelweis Egyetem, Általános Orvostudományi Kar Városmajori Szív- és Érgyógyászati Klinika Budapest Városmajor u. 68. 1122.
authors.forename: Astrid
authors.initials: A
authors.lastname: Apor
authors.affiliation: Semmelweis Egyetem, Általános Orvostudományi Kar Városmajori Szív- és Érgyógyászati Klinika Budapest Városmajor u. 68. 1122.
authors.forename: István
authors.initials: I
authors.lastname: Edes
authors.affiliation: Semmelweis Egyetem, Általános Orvostudományi Kar Aneszteziológiai és Intenzív Terápiás Klinika Budapest.
authors.forename: Erzsébet
authors.initials: E
authors.lastname: Paulovich
authors.affiliation: Semmelweis Egyetem, Általános Orvostudományi Kar Városmajori Szív- és Érgyógyászati Klinika Budapest Városmajor u. 68. 1122.
authors.forename: Béla
authors.initials: B
authors.lastname: Merkely
mesh_terms: D000208:Acute Disease; D000368:Aged; D000784:Aortic Dissection / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D001014:Aortic Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D001145:Arrhythmias, Cardiac / Q000150:complications*; D019917:Blood Vessel Prosthesis Implantation; D053840:Brugada Syndrome; D000075224:Cardiac Conduction System Disease; D002305:Cardiac Tamponade / Q000150:complications*; D004452:Echocardiography; D004562:Electrocardiography; D004638:Emergency Treatment / Q000379:methods*; D005260:Female; D006329:Heart Conduction System / Q000002:abnormalities*; D006439:Hemodynamics; D006801:Humans; D020519:Pericardiocentesis; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*
keywords: aortadissectio; aortic dissection; cardiac surgery; pericardial tamponade; pericardialis tamponád; szívsebészet