Related Experiment Video

Updated: Oct 18, 2025

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
06:26

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

537

Surgical Treatment of Acute Type A Aortic Dissection with 18-Litre Bleeding

Sergey Y Boldyrev1,2, Kirill O Barbukhatty1,2, Vladimir A Porhanov1,2

  • 1Department of Cardiac Surgery no. 2, S.V. Ochapowski Regional Hospital no. 1, Krasnodar, Russia.

Aorta (Stamford, Conn.)
|October 4, 2021
PubMed

Insights

This case study details the successful surgical management of acute aortic dissection with massive perioperative bleeding. It highlights effective strategies for managing hypocoagulation and limb malperfusion during complex aortic surgeries.

Area of Science:

  • Cardiovascular Surgery
  • Vascular Surgery
  • Aortic Diseases

Background:

  • Type-A acute aortic dissection carries significant risks of mortality and morbidity.
  • Perioperative bleeding is a major contributor to adverse outcomes in these patients.
  • Limb malperfusion presents a critical surgical challenge.

Purpose of the Study:

  • To report a successful surgical intervention for DeBakey Type-I acute aortic dissection.
  • To illustrate the management of extreme perioperative blood loss (18 litres).
  • To demonstrate successful treatment of associated lower extremity malperfusion and drug-induced hypocoagulation.

Main Methods:

  • Surgical repair of DeBakey Type-I acute aortic dissection.
  • Management of drug-induced hypocoagulation.
  • Addressing lower extremity malperfusion.
  • Intraoperative blood loss monitoring and management.

Main Results:

  • Successful surgical treatment of acute aortic dissection.
  • Complete resolution of lower extremity malperfusion.
  • Effective management of 18-litre perioperative blood loss.
  • Patient survival and favorable outcome.

Conclusions:

  • Complex aortic dissections with massive bleeding are surgically manageable.
  • Aggressive management of hypocoagulation and malperfusion is crucial for survival.
  • This case underscores the importance of tailored strategies in high-risk aortic surgery.

More Related Videos

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm04:56

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm

Published on: August 1, 2025

208
A New Murine Model of Endovascular Aortic Aneurysm Repair08:51

A New Murine Model of Endovascular Aortic Aneurysm Repair

Published on: July 7, 2013

14.5K

Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
54
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
42
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
71
Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
75