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Treatment of a patient with acute aortic dissection using extracorporeal cardiopulmonary resuscitation after an out‐of‐hospital cardiac arrest: a case report
CASE: Circulatory support using veno‐arterial extracorporeal membrane oxygenation for aortic disease is conventionally contraindicated. In this case, a 66‐year‐old man experienced cardiopulmonary arrest caused by acute aortic dissection. When exercising in the gym, he experienced chest discomfort, s...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5891112/ https://www.ncbi.nlm.nih.gov/pubmed/29657734 http://dx.doi.org/10.1002/ams2.324 |
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author | Yukawa, Takahiro Sugiyama, Kazuhiro Miyazaki, Kazuki Tanabe, Takahiro Ishikawa, Susumu Hamabe, Yuichi |
author_facet | Yukawa, Takahiro Sugiyama, Kazuhiro Miyazaki, Kazuki Tanabe, Takahiro Ishikawa, Susumu Hamabe, Yuichi |
author_sort | Yukawa, Takahiro |
collection | PubMed |
description | CASE: Circulatory support using veno‐arterial extracorporeal membrane oxygenation for aortic disease is conventionally contraindicated. In this case, a 66‐year‐old man experienced cardiopulmonary arrest caused by acute aortic dissection. When exercising in the gym, he experienced chest discomfort, so the staff immediately called an ambulance. While in the ambulance, he experienced cardiopulmonary arrest. His initial electrocardiogram showed ventricular fibrillation. At the emergency department, we immediately performed extracorporeal cardiopulmonary resuscitation. We suspected acute coronary syndrome, so coronary angiography was carried out. Enlargement of ascending aorta was noted. Whole‐body enhanced computed tomography was subsequently performed, leading to a final diagnosis of acute aortic dissection. OUTCOME: Emergency ascending aorta prosthesis implantation was performed. The patient received intensive care and was discharged on day 49 of hospitalization. His cerebral performance category score was 4 at discharge. CONCLUSION: This case suggests that veno‐arterial extracorporeal membrane oxygenation may be used for patients with aortic dissection presenting with cardiac arrest. |
format | Online Article Text |
id | pubmed-5891112 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-58911122018-04-13 Treatment of a patient with acute aortic dissection using extracorporeal cardiopulmonary resuscitation after an out‐of‐hospital cardiac arrest: a case report Yukawa, Takahiro Sugiyama, Kazuhiro Miyazaki, Kazuki Tanabe, Takahiro Ishikawa, Susumu Hamabe, Yuichi Acute Med Surg Case Reports CASE: Circulatory support using veno‐arterial extracorporeal membrane oxygenation for aortic disease is conventionally contraindicated. In this case, a 66‐year‐old man experienced cardiopulmonary arrest caused by acute aortic dissection. When exercising in the gym, he experienced chest discomfort, so the staff immediately called an ambulance. While in the ambulance, he experienced cardiopulmonary arrest. His initial electrocardiogram showed ventricular fibrillation. At the emergency department, we immediately performed extracorporeal cardiopulmonary resuscitation. We suspected acute coronary syndrome, so coronary angiography was carried out. Enlargement of ascending aorta was noted. Whole‐body enhanced computed tomography was subsequently performed, leading to a final diagnosis of acute aortic dissection. OUTCOME: Emergency ascending aorta prosthesis implantation was performed. The patient received intensive care and was discharged on day 49 of hospitalization. His cerebral performance category score was 4 at discharge. CONCLUSION: This case suggests that veno‐arterial extracorporeal membrane oxygenation may be used for patients with aortic dissection presenting with cardiac arrest. John Wiley and Sons Inc. 2017-12-19 /pmc/articles/PMC5891112/ /pubmed/29657734 http://dx.doi.org/10.1002/ams2.324 Text en © 2017 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Case Reports Yukawa, Takahiro Sugiyama, Kazuhiro Miyazaki, Kazuki Tanabe, Takahiro Ishikawa, Susumu Hamabe, Yuichi Treatment of a patient with acute aortic dissection using extracorporeal cardiopulmonary resuscitation after an out‐of‐hospital cardiac arrest: a case report |
title | Treatment of a patient with acute aortic dissection using extracorporeal cardiopulmonary resuscitation after an out‐of‐hospital cardiac arrest: a case report |
title_full | Treatment of a patient with acute aortic dissection using extracorporeal cardiopulmonary resuscitation after an out‐of‐hospital cardiac arrest: a case report |
title_fullStr | Treatment of a patient with acute aortic dissection using extracorporeal cardiopulmonary resuscitation after an out‐of‐hospital cardiac arrest: a case report |
title_full_unstemmed | Treatment of a patient with acute aortic dissection using extracorporeal cardiopulmonary resuscitation after an out‐of‐hospital cardiac arrest: a case report |
title_short | Treatment of a patient with acute aortic dissection using extracorporeal cardiopulmonary resuscitation after an out‐of‐hospital cardiac arrest: a case report |
title_sort | treatment of a patient with acute aortic dissection using extracorporeal cardiopulmonary resuscitation after an out‐of‐hospital cardiac arrest: a case report |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5891112/ https://www.ncbi.nlm.nih.gov/pubmed/29657734 http://dx.doi.org/10.1002/ams2.324 |
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