Key result
Emergency TEVAR successfully treated a ruptured acute Stanford type B aortic dissection with cardiac tamponade in a 77-year-old man, though it was complicated by postoperative paraplegia.
Why the study?
Cardiac tamponade caused by acute type B aortic dissection is rare and requires emergency management.
Case Report (n=1)
No
Acute Stanford type B aortic dissection can rarely cause cardiac tamponade, and while emergency TEVAR is a viable lifesaving option, it carries a risk of severe complications such as paraplegia.
Cardiac tamponade warrants consideration in acute type B dissection; this case extends rare reports but leaves optimal strategies open.
症例は77歳男性。心タンポナーデにて，緊急心囊ドレナージ施行された。造影CT検査で遠位弓部大動脈にentryを認める急性大動脈解離Stanford B型の偽腔破裂を診断された。緊急胸部大動脈ステントグラフト内挿術（TEVAR）施行し，初期救命したが，術後，対麻痺を発症した。CT検査上第12胸椎レベルのAdamkiewicz動脈は開存していた。心タンポナーデの原因が急性B型大動脈解離であるという報告は稀で，緊急対応を要するため，文献的考察を加えて報告する。
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Nota et al. (2023) conducted a case report in Acute Stanford type B aortic dissection with cardiac tamponade (n=1). Emergency thoracic endovascular aortic repair (TEVAR) was evaluated on Clinical outcome. Emergency TEVAR successfully treated a ruptured acute Stanford type B aortic dissection with cardiac tamponade in a 77-year-old man, though it was complicated by postoperative paraplegia.
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