Stanford type A aortic dissection with Child B liver cirrhosis

Asian Cardiovasc Thorac Ann. 2007 Jun;15(3):e38-40. doi: 10.1177/021849230701500328.

Abstract

Cardiac surgery using cardiopulmonary bypass in patients with advanced liver cirrhosis has been infrequently performed, and reported to be too risky. Aortic dissection accompanied with liver cirrhosis is extremely rare. A 61-year-old woman who had aortic dissection and Child B liver cirrhosis underwent ascending aorta replacement. Liver protection during cardiopulmonary bypass was successfully accomplished by moderate hypothermia and use of an aortic occlusion balloon to maintain sufficient hepatic blood flow.

Publication types

  • Case Reports

MeSH terms

  • Aortic Aneurysm / complications
  • Aortic Aneurysm / diagnostic imaging
  • Aortic Aneurysm / physiopathology
  • Aortic Aneurysm / surgery*
  • Aortic Dissection / complications
  • Aortic Dissection / diagnostic imaging
  • Aortic Dissection / physiopathology
  • Aortic Dissection / surgery*
  • Balloon Occlusion*
  • Blood Vessel Prosthesis Implantation* / adverse effects
  • Cardiopulmonary Bypass* / adverse effects
  • Circulatory Arrest, Deep Hypothermia Induced*
  • Female
  • Humans
  • Liver Circulation
  • Liver Cirrhosis / complications*
  • Liver Cirrhosis / diagnostic imaging
  • Liver Cirrhosis / physiopathology
  • Liver Cirrhosis / surgery
  • Middle Aged
  • Regional Blood Flow
  • Severity of Illness Index
  • Tomography, X-Ray Computed
  • Treatment Outcome