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Successful Conservative Treatment of Type A Aortic Dissection with Thrombosed False Lumen Changed from Type B Aortic Dissection Yuichi Abe 1 , Kimiaki Komukai 1 , Yuko Kawamura 1 , Makihiko Hirabayashi 1 , Keiichi Inada 1 , Takahiro Shibata 1 , Seibu Mochizuki 1 1Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine Keyword: 急性大動脈解離 , 早期血栓閉鎖 , 低酸素血症 , aortic dissection , intramural hematoma , hypoxemia pp.97-100
Published Date 2004/1/1
DOI https://doi.org/10.11477/mf.1404100244
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Summary

 A 53-year-old man was admitted to our hospital for backpainandwithcomputedtomography was diagnosed as having Stanford type B aortic dissection. Because of impaired oxygenation, mechanical ventiation was needed from day 3 to day 29. Although blood pressure was well controlled below 120 mmHg, computed tomography, at the day after intubation (day 4), revealed aortic dissection in the ascending aorta and also that the false lumen seemed to be thrombosed. The patient was treated conservatively. Computed tomography on day 39 showed that the false lumen of the ascending aorta had disappeared completely. In the present case, long-period impaired oxygenation needed mechanical ventilation and the consequent long-period bed rest. This might have contribute to the absorption of the thrombosed false lumen of the ascending aorta.


Copyright © 2004, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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