Shinichiro Ikeda*, Paul C Saunders and Benjamin A Youdelman
Department of Surgery, Division of Cardiothoracic Surgery, Maimonides Medical Center, USAFulltext PDF
A 36-year-old male suffered acute type A aortic dissection complicated with Ejection Fraction (EF) of less than 10% without coronary dissection and valvular disease. We decided to manage the heart failure first and when EF improved to 25% one week later, we performed ascending aorta replacement as this was subacute aortic dissection. Although central venous arterial extracorporeal membrane oxygenation support was needed for one day and the patient had embolic stroke on postoperative day 9, the patient was discharged to the rehabilitation center on postoperative day 22. The symptom of stroke was almost resolved at 6-month follow-up.
Subacute type A aortic dissection; Low ejection fraction; CT
Ikeda S, Saunders PC, Youdelman BA. Subacute Type A Aortic Dissection with 10% of Ejection Fraction. Clin Surg. 2019; 4: 2669.