Surgical Treatment of Acute Type A Aortic Dissection with 18-Litre Bleeding

Author:

Boldyrev Sergey Y.12ORCID,Barbukhatty Kirill O.12ORCID,Porhanov Vladimir A.12ORCID

Affiliation:

1. Department of Cardiac Surgery no. 2, S.V. Ochapowski Regional Hospital no. 1, Krasnodar, Russia

2. Kuban State Medical University, Krasnodar, Russia

Abstract

AbstractSurgical 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.

Publisher

Georg Thieme Verlag KG

Subject

Cardiology and Cardiovascular Medicine,Radiology Nuclear Medicine and imaging,Surgery

Reference8 articles.

1. Consumption coagulopathy in acute aortic dissection: principles of management;Y Liu;J Cardiothorac Surg,2017

2. Predictors and impact of massive bleeding in acute type A aortic dissection;I Zindovic;Interact Cardiovasc Thorac Surg,2017

3. Hemostasis alterations in patients with acute aortic dissection;D Paparella;Ann Thorac Surg,2011

4. Aortic valve reimplantation using Kuban Cuff modification in a patient with acute type A aortic dissection and aortic valve insufficiency;S Boldyrev;Ann Cardiothorac Surg,2016

5. Outcome after surgery for acute aortic dissection: influence of preoperative antiplatelet therapy on prognosis;R A Chemtob;J Cardiothorac Vasc Anesth,2017

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