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Aortic Dissection in a Survivor after Cardiopulmonary Resuscitation

We describe a case of traumatic aortic dissection associated with cardiac compression in a patient with anaphylactic cardiac arrest who underwent cardiopulmonary resuscitation (CPR). A 54-year-old man who was scheduled to undergo surgery for gastric cancer went into cardiac arrest caused by an anaph...

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Autores principales: Lee, Jeong-Sun, Hong, Suk-Kyung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Critical Care Medicine 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6786706/
https://www.ncbi.nlm.nih.gov/pubmed/31723637
http://dx.doi.org/10.4266/kjccm.2016.00416
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author Lee, Jeong-Sun
Hong, Suk-Kyung
author_facet Lee, Jeong-Sun
Hong, Suk-Kyung
author_sort Lee, Jeong-Sun
collection PubMed
description We describe a case of traumatic aortic dissection associated with cardiac compression in a patient with anaphylactic cardiac arrest who underwent cardiopulmonary resuscitation (CPR). A 54-year-old man who was scheduled to undergo surgery for gastric cancer went into cardiac arrest caused by an anaphylactic reaction to prophylactic antibiotics in the operating room. Veno-arterial extracorporeal membrane oxygenation (ECMO) was performed. CPR, including chest compressions, was performed for 35 minutes, and the patient was transferred to the intensive care unit (ICU) after spontaneous circulation returned. The patient received ECMO for 9 hours until confirmation of normal cardiac function on transthoracic echocardiography (TTE). Twenty days after cardiac arrest, an aortic dissection and fractures in the left fourth and fifth ribs due to chest compression were detected by abdominal computed tomography. The DeBakey type III aortic dissection extended from the distal arch of the thoracic aorta to the proximal level of the renal artery, involving the celiac trunk. It was considered an uncomplicated type B aortic dissection with no sign of malperfusion of the major vessels. This case demonstrates the potential traumatic injuries that can occur after CPR and encourages proper management of mechanical complications in cardiac arrest survivors.
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spelling pubmed-67867062019-11-13 Aortic Dissection in a Survivor after Cardiopulmonary Resuscitation Lee, Jeong-Sun Hong, Suk-Kyung Korean J Crit Care Med Case Report We describe a case of traumatic aortic dissection associated with cardiac compression in a patient with anaphylactic cardiac arrest who underwent cardiopulmonary resuscitation (CPR). A 54-year-old man who was scheduled to undergo surgery for gastric cancer went into cardiac arrest caused by an anaphylactic reaction to prophylactic antibiotics in the operating room. Veno-arterial extracorporeal membrane oxygenation (ECMO) was performed. CPR, including chest compressions, was performed for 35 minutes, and the patient was transferred to the intensive care unit (ICU) after spontaneous circulation returned. The patient received ECMO for 9 hours until confirmation of normal cardiac function on transthoracic echocardiography (TTE). Twenty days after cardiac arrest, an aortic dissection and fractures in the left fourth and fifth ribs due to chest compression were detected by abdominal computed tomography. The DeBakey type III aortic dissection extended from the distal arch of the thoracic aorta to the proximal level of the renal artery, involving the celiac trunk. It was considered an uncomplicated type B aortic dissection with no sign of malperfusion of the major vessels. This case demonstrates the potential traumatic injuries that can occur after CPR and encourages proper management of mechanical complications in cardiac arrest survivors. Korean Society of Critical Care Medicine 2017-05 2016-12-29 /pmc/articles/PMC6786706/ /pubmed/31723637 http://dx.doi.org/10.4266/kjccm.2016.00416 Text en Copyright © 2017 The Korean Society of Critical Care Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Lee, Jeong-Sun
Hong, Suk-Kyung
Aortic Dissection in a Survivor after Cardiopulmonary Resuscitation
title Aortic Dissection in a Survivor after Cardiopulmonary Resuscitation
title_full Aortic Dissection in a Survivor after Cardiopulmonary Resuscitation
title_fullStr Aortic Dissection in a Survivor after Cardiopulmonary Resuscitation
title_full_unstemmed Aortic Dissection in a Survivor after Cardiopulmonary Resuscitation
title_short Aortic Dissection in a Survivor after Cardiopulmonary Resuscitation
title_sort aortic dissection in a survivor after cardiopulmonary resuscitation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6786706/
https://www.ncbi.nlm.nih.gov/pubmed/31723637
http://dx.doi.org/10.4266/kjccm.2016.00416
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