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
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)