TITLE:
Recovery from Out-of-Hospital Cardiopulmonary Arrest Due to Type A Acute Aortic Dissection: A Case Report
AUTHORS:
Yoko Sugawara, Tomohiro Kurihara, Satoshi Ohtsubo, Masanori Takamatsu, Kenichiro Sasao, Motojiro Takebe, Shiho Irino, Mirai Takahashi, Takashi Hirotani, Kazuhiko Sekine
KEYWORDS:
Aortic Branch Artery Occlusion, Cerebral Ischemia, Malperfusion, Prognosis, Surgical Indication
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.5 No.11,
November
29,
2016
ABSTRACT: Case: A 55-year-old man without past medical histories suffering from back pain for two weeks was successfully resuscitated from an 8-min cardiopulmonary arrest (CPA) and was brought to our hospital by ambulance. Computed tomography demonstrated type A acute aortic dissection (AAAD) with brachiocephalic artery occlusion. After admission, Glasgow Coma Scale score improved to E1VTM4, and voluntary movement was noted only in the right limbs. Outcome: The patient underwent emergency grafting of the ascending aorta and innominate artery under deep hypothermic circulatory arrest. After surgery, the patient recovered with mild disorientation and left hemiplegia. Magnetic resonance imaging of the head revealed no large infarction but revealed multiple acute ischemic changes. One year later, the patient demonstrated independent walk and successfully returned to work life. Conclusions: Immediate resuscitation and surgery resulted in good recovery from CPA after AAAD.