A Case of Acute Aortic Dissection in an Older Patient of Advanced Age
2024

A Case of Acute Aortic Dissection in an Older Patient

Sample size: 1 publication Evidence: low

Author Information

Author(s): Muacevic Alexander, Adler John R, Nakajima Tomohiro, Mukawa Kei, Iba Yutaka, Shibata Tsuyoshi, Kawaharada Nobuyoshi

Primary Institution: Sapporo Medical University

Conclusion

The management of acute aortic dissection in older patients is challenging due to their frailty and comorbidities, leading to significant postoperative complications.

Supporting Evidence

  • Older patients often have comorbidities that complicate surgical management.
  • Surgery for aortic dissection in older patients is associated with high rates of postoperative complications.
  • The patient developed an ischemic stroke due to paroxysmal atrial fibrillation after surgery.
  • Frailty assessment is crucial for managing older patients undergoing surgery.

Takeaway

This study talks about an 85-year-old woman who had a serious heart problem and needed surgery. After the surgery, she had some complications that made her recovery difficult.

Methodology

The patient underwent emergency surgery for acute Stanford type A aortic dissection, involving cardiopulmonary bypass and grafting.

Limitations

The study is based on a single case, limiting the generalizability of the findings.

Participant Demographics

An 85-year-old female patient residing in a care facility.

Digital Object Identifier (DOI)

10.7759/cureus.74567

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