| A Report of Successful Treatment
of an Acute Aortic Dissection Associated with a Long-Term Steroid
Therapy for Hypopituitarism |
(Department of Cardiovascular Surgery, Kawachi General
Hospital, Higashi-Osaka, Japan)
| Masao Tayama |
Nobuo Sakagoshi |
Harumasa Yasuda |
|
A 58-year-old man was admitted with
a diagnosis of an acute Stanford type A aortic dissection after
20-year-long steroid therapy for hypopituitarism. The graft replacement
of the ascending aorta was performed as an emergency procedure
under deep hypothermic selective cerebral perfusion. We administered
1,000 mg of methylprednisolone during cardiopulmonary bypass,
injected 500 mg/day of hydrocortisone during postoperative day
1 to 4, and then administered orally 40 mg/day of hydrocortisone.
Then 200μg of levothyroxine sodium was given orally from postoperative
day 6. There are some reports about acute aortic dissection associated
with long-term steroid therapy in SLE or aortitis syndrome, but
reports involving hypopituitarism are very rare.
Jpn. J. Cardiovasc. Surg. 32：158 -160 (2003) |
|
