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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| Format: | Article |
| Language: | English |
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Japan Surgical Society
2022-08-01
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| Series: | Surgical Case Reports |
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| Online Access: | https://doi.org/10.1186/s40792-022-01505-7 |
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| author | Venny Lise Kvalheim Maria Devold Soknes Guttorm Lysvold Jenssen Rune Haaverstad |
| author_facet | Venny Lise Kvalheim Maria Devold Soknes Guttorm Lysvold Jenssen Rune Haaverstad |
| author_sort | Venny Lise Kvalheim |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-b1e4fa53ec0a4f398634cb9dada6586f |
| institution | Kabale University |
| issn | 2198-7793 |
| language | English |
| publishDate | 2022-08-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-b1e4fa53ec0a4f398634cb9dada6586f2025-08-20T03:36:02ZengJapan Surgical SocietySurgical Case Reports2198-77932022-08-01811410.1186/s40792-022-01505-7Treatment of acute aortic dissection type A with paraplegia and distal limb ischemia within a hybrid operating roomVenny Lise Kvalheim0Maria Devold Soknes1Guttorm Lysvold Jenssen2Rune Haaverstad3Section of Cardiothoracic Surgery, Dept. of Heart Disease, Haukeland University HospitalSection of Cardiothoracic Surgery, Dept. of Heart Disease, Haukeland University HospitalDept. of Radiology, Haukeland University HospitalSection of Cardiothoracic Surgery, Dept. of Heart Disease, Haukeland University HospitalAbstract 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.https://doi.org/10.1186/s40792-022-01505-7Type A aortic dissectionMalperfusion syndromeTEVARHybrid surgery |
| spellingShingle | Venny Lise Kvalheim Maria Devold Soknes Guttorm Lysvold Jenssen Rune Haaverstad Treatment of acute aortic dissection type A with paraplegia and distal limb ischemia within a hybrid operating room Surgical Case Reports Type A aortic dissection Malperfusion syndrome TEVAR Hybrid surgery |
| title | Treatment of acute aortic dissection type A with paraplegia and distal limb ischemia within a hybrid operating room |
| title_full | Treatment of acute aortic dissection type A with paraplegia and distal limb ischemia within a hybrid operating room |
| title_fullStr | Treatment of acute aortic dissection type A with paraplegia and distal limb ischemia within a hybrid operating room |
| title_full_unstemmed | Treatment of acute aortic dissection type A with paraplegia and distal limb ischemia within a hybrid operating room |
| title_short | Treatment of acute aortic dissection type A with paraplegia and distal limb ischemia within a hybrid operating room |
| title_sort | treatment of acute aortic dissection type a with paraplegia and distal limb ischemia within a hybrid operating room |
| topic | Type A aortic dissection Malperfusion syndrome TEVAR Hybrid surgery |
| url | https://doi.org/10.1186/s40792-022-01505-7 |
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