| Successful Treatment of Acute
Type A Aortic Dissection with Intestinal Necrosis |
(Department of Cardiovascular Surgery, National
Cardiovascular Center, Osaka, Japan)
| Yoshitsugu Nakamura |
Motomi Ando |
Osamu Tagusari |
| Hitoshi Ogino |
Hiroaki Sasaki |
Yuji Hanafusa |
| Soichiro Kitamura |
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A 59-year-old man presented with
severe abdominal pain. CT scan showed a type A aortic dissection
and pericardial effusion. As cardiac tamponade was present, emergency
total arch replacement was performed. Because of his symptom,
we added an exploratory laparotomy, which revealed intestinal
necrosis. Therefore, necrotic intestine 4.5m in length was resected.
After intensive care, he began oral feeding on the 25th day and
was discharged on the 76th day postoperatively.
Jpn. J. Cardiovasc. Surg. 31: 347-349 (2002) |
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