Treatment of acute aortic dissection type A with paraplegia and distal limb ischemia within a hybrid operating room
Abstract Objective Acute aortic dissection type A is among the most lethal surgical emergencies. Patients may suffer from occlusion of the aorta or its branches causing end-organ malperfusion complicating the diagnosis and worsening the prognosis. Paraplegia is a rare manifestation that affects less...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Japan Surgical Society
2022-08-01
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| Series: | Surgical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40792-022-01505-7 |
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| Summary: | Abstract Objective Acute aortic dissection type A is among the most lethal surgical emergencies. Patients may suffer from occlusion of the aorta or its branches causing end-organ malperfusion complicating the diagnosis and worsening the prognosis. Paraplegia is a rare manifestation that affects less than 5% of patients. If type A aortic dissection and occlusion of the downstream thoraco-abdominal aorta occur simultaneously and require acute treatment, a medical dilemma occurs; what should be treated first? Case report We describe a case with an extensive acute type A aortic dissection with signs of consciousness and severe malperfusion syndrome. Results The treatment was successfully performed within a hybrid surgery suite with simultaneous open surgery and endovascular repair techniques supported by cardiopulmonary bypass circulation. Conclusion A hybrid operating room might offer the opportunity to simultaneously repair complicated aortic dissection with malperfusion syndrome, by open aortic surgery and endovascular techniques. |
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| ISSN: | 2198-7793 |