title: Mediastinal Packing for Intractable Coagulopathy in Acute Aortic Dissection (Types 1 and 2 DeBakey): A Life-Saving Technique-Report of Experiences.
abstract: Nonsurgical bleeding after complex thoracic aortic procedures (such as aortic dissection and aortic aneurysm) is a great challenge for cardiac surgeons because of severe coagulopathy, exsanguinous bleeding, and inevitable death. Temporary mediastinal packing (with sponge) in such cases is the only life-saving technique with good result in most cases. Herein, we presented three cases with acute aortic dissection with intractable bleeding that was successfully managed with mediastinal packing.
authors.affiliation: Atherosclerosis Prevention Research Center, Mashhad University of Medical Sciences, Imam Reza Hospital, Iran.
authors.forename: Aliasghar
authors.initials: A
authors.lastname: Moeinipour
authors.affiliation: Imam Reza Hospital, Mashhad University of Medical Sciences, Iran.
authors.forename: Mehdi
authors.initials: M
authors.lastname: Fathi
authors.affiliation: Imam Reza Hospital, Mashhad University of Medical Sciences, Iran.
authors.forename: Alireza
authors.initials: A
authors.lastname: Sepehri Shamloo
authors.affiliation: Imam Reza Hospital, Mashhad University of Medical Sciences, Iran.
authors.forename: Shahram
authors.initials: S
authors.lastname: Amini
authors.affiliation: Atherosclerosis Prevention Research Center, Mashhad University of Medical Sciences, Imam Reza Hospital, Iran.
authors.forename: Hamid
authors.initials: H
authors.lastname: Hoseinikhah
authors.affiliation: Cardiovascular ICU, Imam Reza Hospital, Mashhad University of Medical Sciences, Iran.
authors.forename: Akram
authors.initials: A
authors.lastname: Kianinejad