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Asian Cardiovasc Thorac Ann · Jun 2007
Case ReportsStanford type A aortic dissection with Child B liver cirrhosis.
- Seiji Matsukuma, Hiroshi Yamaguchi, and Masayoshi Hamawaki.
- Department of Cardiovascular Surgery, National Hospital Organization, Nagasaki Medical Center, 2-1001-1 Kubara, Omura City, Nagasaki 856-8562, Japan. matsukuma@nmc.hosp.go.jp
- Asian Cardiovasc Thorac Ann. 2007 Jun 1; 15 (3): e38-40.
AbstractCardiac surgery using cardiopulmonary bypass in patients with advanced liver cirrhosis has been infrequently performed, and reported to be too risky. Aortic dissection accompanied with liver cirrhosis is extremely rare. A 61-year-old woman who had aortic dissection and Child B liver cirrhosis underwent ascending aorta replacement. Liver protection during cardiopulmonary bypass was successfully accomplished by moderate hypothermia and use of an aortic occlusion balloon to maintain sufficient hepatic blood flow.
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