[Aortic Regurgitation and Stanford Type A Aortic Dissection with Antiphospholipid Antibody Syndrome:Report of a Case]

Autor: Kazunori, Koyama, Katsuyuki, Miyazu, Masahiro, Ikeda
Rok vydání: 2022
Předmět:
Zdroj: Kyobu geka. The Japanese journal of thoracic surgery. 75(3)
ISSN: 0021-5252
Popis: Antiphospholipid antibody syndrome (APS) is associated with high morbidity and mortality resulting from hemorrhagic or thromboembolic events and compromised host immunity due to steroid use. We reported a successful surgery for aortic valve regurgitation (AR) and dissecting aortic aneurysm (DAA) in the ascending aorta in a patient with APS. A 75-year-old woman with AR and primary APS was transferred to our institute because of fever and dyspnea. She was given a diagnosis of pneumonia and congestive heart failure (CHF). Enhanced computed tomography (CT) incidentally revealed chronic DAA. After medical treatment for CHF and pneumonia, elective surgery to replace the aortic valve and ascending aorta was performed. We paid special caution to intraoperative hemostasis and perioperative anticoagulation management. No adverse event was observed in this patient's postoperative clinical course, and she was discharged home.
Databáze: OpenAIRE