Abstract| Volume 23, ISSUE 10, SUPPLEMENT , S76, October 2017

A Case of Super Elderly Woman With Type a Aortic Dissection Conservative Treatment That Passed Without Event for 8 Years

      A 98-year-old female. Eight years ago (at the age of 90), she was examined to another hospital with sudden dyspnea feeling and back pain. She was hospitalized for diagnosis of heart failure. After 1 week, echocardiography showed pericardial effusion. So she was transferred to our hospital. A marked dilatation of the aorta was recognized. It was proved the type A aortic dissection by contrast CT. The ascending aorta diameter was 60 × 58 mm. It was usually indication for surgical treatment. But she was too old. It was thrombosed type aortic dissection, and had passed one week since onset. From these things, we performed conservative treatment for only heart failure. About 50 days later, she was discharged home. After that, she passed without any symptoms. She was able to walk around her house. She was hospitalized due to congestive heart failure 8 years later. The ascending aorta dilated to 85 × 72 mm with severe aortic regurgitation. She gradually became worse and passed away for the 27th sick day. Type A aortic dissection is a fatal disease that becomes an indication for emergency surgery. But surgery has risks. Elderly person has many risks, and may have to choose conservative treatment. We will report the case with no event for 8 years.
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