A Case of Successful Treatment for DeBakey Type I Dissecting Aortic Aneurysm in a Patient with Systemic Lupus Erythematosus

(Department of Cardiovascular Surgery, School of Medicine, Fukuoka University, Fukuoka, Japan)

Tadashi Motomura Tadashi Tashiro Syungo Sukehiro
Katsuhiko Nakamura Ryuiti Shibano Ryuji Zaitsu
Hidehiko Iwahashi Michio Kimura
A 45-year-old woman with an 8-year history of systemic lupus erythematosus (SLE) was admitted with complaints of sudden onset of chest and back pain and syncopal attack. Aortography showed DeBakey type I acute aortic dissection. She has been maintained on a small dose of corticosteroids (prednisone 5mg/day). After antihypertensive drug treatment, a replacement of the total aortic arch and arch vessels was successfully performed. The postoperative course was uneventful and she has had no relapse of SLE.
@Jpn. J. Cardiovasc. Surg. 29: 106-109 (2000)