Surgical Treatment of Patient with Ruptured Dissection of the Thoracic Aorta – Stanford A, De Bakey I – Case Report of the Patient Surgically Treated at UC of State Cardiosurgery – Skopje

Abstract

Abstract Introduction. A 59-year-old male patient with dissection of the thoracic aorta, DeBakey I, Stanford A is presented in this case study. We present his symptoms, his preoperative condition, diagnostic procedures, the surgical procedure and his postoperative treatment at the UC of State Cardiosurgery-Skopje. Case report. The surgery was performed two days after establishment of the diagnosis and more than 3 days (72 hours) after the symptoms occured, due to absence of patient’s consent for the surgery. This resulted in more difficult preoperative condition of the patient, surgical procedure harder to perform, and reduced survival expectations. Preoperative risk of predicted mortality from the cardiovascular surgery calculated according to EUROSCORE was 28.6%. Results. In this case study we also present classification, etiology, pathophysiology, and some statistics about the incidence of thoracic aorta dissection and survival rates emphasizing the increased mortality rate in delayed surgical interventions.