RSS-Feed abonnieren

DOI: 10.1055/s-0041-1722897
Surgical Treatment of Acute Type A Aortic Dissection with 18-Litre Bleeding
Funding None.
Abstract
Surgical treatment of Type-A acute aortic dissection is associated with high mortality and morbidity. One of the reasons is perioperative bleeding, which may lead to worse outcomes. We present a case of successful treatment of a patient with 18-litre perioperative blood loss in DeBakey Type-I acute aortic dissection with drug-induced hypocoagulation and malperfusion of a lower extremity.
Publikationsverlauf
Eingereicht: 09. Mai 2020
Angenommen: 30. September 2020
Artikel online veröffentlicht:
04. Oktober 2021
© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
References
- 1 Liu Y, Han L, Li J, Gong M, Zhang H, Guan X. Consumption coagulopathy in acute aortic dissection: principles of management. J Cardiothorac Surg 2017; 12 (01) 50
- 2 Zindovic I, Sjögren J, Bjursten H. et al. Predictors and impact of massive bleeding in acute type A aortic dissection. Interact Cardiovasc Thorac Surg 2017; 24 (04) 498-505
- 3 Paparella D, Rotunno C, Guida P. et al. Hemostasis alterations in patients with acute aortic dissection. Ann Thorac Surg 2011; 91 (05) 1364-1369
- 4 Boldyrev S, Kaleda V, Barbukhatty K. Aortic valve reimplantation using Kuban Cuff modification in a patient with acute type A aortic dissection and aortic valve insufficiency. Ann Cardiothorac Surg 2016; 5 (04) 404-406
- 5 Chemtob RA, Moeller-Soerensen H, Holmvang L, Olsen PS, Ravn HB. Outcome after surgery for acute aortic dissection: influence of preoperative antiplatelet therapy on prognosis. J Cardiothorac Vasc Anesth 2017; 31 (02) 569-574
- 6 Hansson EC, Dellborg M, Lepore V, Jeppsson A. Prevalence, indications and appropriateness of antiplatelet therapy in patients operated for acute aortic dissection: associations with bleeding complications and mortality. Heart 2013; 99 (02) 116-121
- 7 Trimarchi S, Nienaber CA, Rampoldi V. et al; International Registry of Acute Aortic Dissection Investigators. Contemporary results of surgery in acute type A aortic dissection: the international registry of acute aortic dissection experience. J Thorac Cardiovasc Surg 2005; 129 (01) 112-122
- 8 Elefteriades JA, Youssef S, Rousou L, Nazer R. Novel valved graft modification of Cabrol fistula for bleeding after aortic root surgery. Ann Thorac Surg 2012; 94 (05) 1741-1743