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[A successful treatment of emergent Cabrol's procedure for an acute aortic dissection (DeBakey type I)]
T Katoh1, T Kawamura, Y Minami
1First Department of Surgery, Yamaguchi University School of Medicine.
Insights
A patient underwent emergency surgery for an acute dissecting aortic aneurysm to prevent rupture. Intraoperative echocardiography guided the successful Cabrol operation, allowing the patient
Area of Science:
- Cardiovascular Surgery
- Diagnostic Imaging
Background:
- Acute aortic dissection is a life-threatening condition requiring immediate surgical intervention.
- Ascending aortic aneurysms with dissection pose a high risk of rupture and cardiac compromise.
Observation:
- A 38-year-old male presented with severe chest pain, indicative of a critical cardiovascular event.
- Echocardiography and computed tomography (CT) confirmed an acute dissecting aneurysm.
Findings:
- Cabrol's operation was performed emergently to address the ascending aortic aneurysm and prevent dissection extension.
- Intraoperative trans-esophageal echocardiography provided crucial details on dissection extent and entry site.
- The patient was discharged on the 53rd day, indicating a successful surgical outcome.
Implications:
- This case highlights the efficacy of prompt surgical management, specifically Cabrol's operation, for acute aortic dissections.
- Intraoperative trans-esophageal echocardiography is invaluable for real-time assessment and surgical planning in complex aortic pathologies.
- Successful surgical repair enables patient recovery and return to society.
Abstract:
A 38-year-old male was admitted due to severe chest pain. Echocardiography and CT revealed an acute dissecting aneurysm. Cabrol's operation was performed immediately in order to prevent a rupture of the ascending aortic aneurysm and the dissection extending to the heart. Intraoperative trans-esophageal echocardiography was useful to get detailed informations, such as an extent of the dissection and a site of the entry. He was discharged from hospital on 53rd day and returned to society.