A non-operative survival case of an 84-year-old patient with type A acute aortic dissection complicated by pulseless tamponade. |
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| Authors: | Mitsumasa Hata Akira Sezai Mitsuru Iida Masataka Yoda Michio Funahashi Shinji Wakui Ichiro Nohata Motomi Shiono Kazutomo Minami |
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| Affiliation: | Department of Cardiovascular Surgery, Nihon University School of Medicine, Tokyo, Japan. |
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| Abstract: | An 84-year-old woman was hospitalized in hemodynamic shock due to type A acute aortic dissection (AAD) complicated by pulseless tamponade. She was treated conservatively as her family refused emergency surgery. In spite of warning her family that lack of intervention may possibly lead to an early death, she gradually improved and went home without any further problems. Emergency surgery for octogenarians remains controversial, however. We report the first surviving, non-operative case of an octogenarian with pulseless shock due to aortic dissection. |
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