Thorac Cardiovasc Surg Rep 2015; 04(01): 052-055
DOI: 10.1055/s-0034-1396894
Case Report: Vascular
Georg Thieme Verlag KG Stuttgart · New York

Controlled Delayed Aortic Repair in Acute Aortic Syndrome and Multiorgan Failure: An Option in Selected Cases

Daniel S. Dohle
1   Department of Thoracic and Cardiovascular Surgery, University Hospital Essen, West-German Heart Center, Essen, Germany
,
Konstantinos Tsagakis
1   Department of Thoracic and Cardiovascular Surgery, University Hospital Essen, West-German Heart Center, Essen, Germany
,
Saifeldin Ibrahim
2   Department of Cardiology, Evangelisches Krankenhaus Oberhausen - EKO, Oberhausen, Germany
,
Björn Plicht
3   Department of Cardiology, University Hospital Essen, West-German Heart Center, Essen, Germany
,
Heinz Jakob
1   Department of Thoracic and Cardiovascular Surgery, University Hospital Essen, West-German Heart Center, Essen, Germany
› Author Affiliations
Further Information

Publication History

29 September 2014

10 November 2014

Publication Date:
20 January 2015 (online)

Abstract

The factor time plays an important role in diagnosis and treatment of acute aortic syndromes, not only as a short interval between diagnosis and surgical therapy, but also as a delay of definitive therapy in the selected cases. Severe organ damage caused by malperfusion or other mechanisms can be overcome by a surgical delay, improving prognosis. We report a successful attempt of a controlled delayed surgical treatment in a patient with an acute aortic syndrome complicated from multiorgan failure.

 
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