出版社：Japan Society of Circulation Control in Medicine
摘要：We experienced a case of emergent concurrent operations for Stanford A-type acute aortic dissection and ruptured abdominal aortic aneurysm. Two days after the onset of Stanford A-type acute aortic dissection, a 75-year-old male patient was hospitalized in our institution due to circulatory shock caused by ruptured abdominal aortic aneurysm. At admission, necrosis was observed in the toes of both sides. Concurrent operations for the replacements of the ascending aorta and abdominal aorta were uneventfully performed under deep hypothermia and circulatory arrest. Since the necrosis of the right lower leg was exacerbated, the surgical amputation was performed on the first postoperative day. The amputation of the left lower leg was also considered, because of the considerable exacerbation of the necrosis, but his family refused it and he died on the second post-operative day.
