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Case Reports
[Preoperative pulseless electrical activity of acute type A aortic dissection; report of a case].
- H Saitoh, S Eguchi, Y Maruyama, R Kansaku, H Takae, and N Sagawa.
- Department of Cardiovascular Surgery, Niigata Kobari Hospital, Niigata, Japan.
- Kyobu Geka. 2007 Dec 1;60(13):1192-5.
AbstractAn 80-year-old man with acute type A aortic dissection, who was preoperatively observed in the intensive care unit, suddenly became unresponsive. The patient was immediately intubated, but a pulse check was delayed because the cardiac monitor seemingly showed a normal sinus rhythm. Bedside echocardiography, while continuing cardiopulmonary resuscitation, revealed massive pericardial effusion. It indicated the patient's cardiac arrest was pulseless electrical activity (PEA) due to cardiac tamponade. After pericardiocentesis, a perfusion rhythm was restored with palpable distal pulse. He successfully underwent a prosthetic graft replacement of the ascending aorta and was discharged after physical rehabilitation.
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