Surgical case reports · 2022
Treatment of acute aortic dissection type A with paraplegia and distal limb ischemia within a hybrid operating room.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Kvalheim Venny Lise, Soknes Maria Devold, Jenssen Guttorm Lysvold, Haaverstad Rune
Аннотация
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.
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.