大動脈解離術中に生じた広範囲脳梗塞に開頭外減圧術・軽度低温療法を試行し救命した１例

• 野口 学

  佐世保中央病院心臓血管外科

• 柴田 隆一郎

  佐世保中央病院心臓血管外科

• 岩松 みよ子

  佐世保中央病院心臓血管外科

書誌事項

タイトル別名

• A Case of Extensive Cerebral Infarction Associated with Acute Aortic Dissection Responding to External Decompression and Mild Brain Hypothermia

抄録

A 56-year-old Japanese woman underwent hemi-arch replacement with selective cerebral perfusion for acute aortic dissection of DeBakey type I. A postoperative computed tomographic scan of the brain showed extensive infarction of the right hemisphere, a midline shift, and right uncal herniation. The patient received right fronto-temporo-parietal craniectomy and external decompression followed by mild brain hypothermia, targeting a rectal temperature of 34°C. Despite residual left hemiparesis, she became alert and successfully recovered. She was discharged 147 days after the operation. We conclude that external decompression with mild brain hypothermia was therapeutically useful, with no major complications, for the treatment of extensive cerebral infarction associated with acute aortic dissection.

収録刊行物

• 日本心臓血管外科学会雑誌

  日本心臓血管外科学会雑誌 32 (3), 148-151, 2003

  特定非営利活動法人 日本心臓血管外科学会

キーワード

• 大動脈解離
• 脳梗塞
• 脳低温療法
• 開頭外減圧術

詳細情報

• CRID: 1390282679682515456
• NII論文ID: 130003629372
• NII論文ID: 110003992835
• NII書誌ID: AN00193284
• DOI: 10.4326/jjcvs.32.148
• ISSN: 18834108
• ISSN: 02851474
• Web Site: https://search.jamas.or.jp/link/ui/2003263124
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可