Sakata Kimimasa, Yamashita Akio, Takeuchi Katsunori, Matsuo Tatsuro, Aoki Masaya, Yoshimura Naoki
Department of Thoracic and Cardiovascular Surgery, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama, Toyama, Toyama, Japan.
Ann Vasc Dis. 2015;8(4):321-3. doi: 10.3400/avd.cr.15-00028. Epub 2015 Oct 2.
Acute aortic occlusion is a catastrophic event requiring early recognition and intervention. The patient was diagnosed type B aortic dissection. He became anuric on the sixth day of illness and the femoral artery pulse was not palpable. Therefore the patient was conveyed to our hospital. During transfer, his blood pressure was suddenly elevated and later he was in cardiopulmonary arrest. After cardiopulmonary resuscitation, the heart resumed beating in several minutes. Acute dynamic obstruction was regarded as a cause of the cardiac arrest. A thoracic endovascular aortic repair was performed urgently. His postoperative period was uneventful and the patient was discharged without problems.
急性主动脉闭塞是一种灾难性事件，需要早期识别和干预。该患者被诊断为B型主动脉夹层。他在发病第六天出现无尿，股动脉搏动触诊不清。因此，患者被转送至我院。转运途中，他的血压突然升高，随后发生心肺骤停。心肺复苏后，心脏在几分钟内恢复跳动。急性动力性梗阻被认为是心脏骤停的原因。紧急进行了胸主动脉腔内修复术。他术后恢复顺利，患者出院时无任何问题。
