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Stanford Type A Aortic Dissection with Child B Liver Cirrhosis

Department of Cardiovascular Surgery, National Hospital Organization, Nagasaki Medical Center, Nagasaki, Japan

For reprint information contact: Seiji Matsukuma, MD, Tel: 81 95 752 3121, Fax: 81 95 754 0292, Email: matsukuma{at}nmc.hosp.go.jp, Department of Cardiovascular Surgery, National Hospital Organization, Nagasaki Medical Center, 2-1001-1 Kubara, Omura City, Nagasaki 856-8562, Japan.

Cardiac surgery using cardiopulmonary bypass in patients with advanced liver cirrhosis has been infrequently performed, and reported to be too risky. Aortic dissection accompanied with liver cirrhosis is extremely rare. A 61-year-old woman who had aortic dissection and Child B liver cirrhosis underwent ascending aorta replacement. Liver protection during cardiopulmonary bypass was successfully accomplished by moderate hypothermia and use of an aortic occlusion balloon to maintain sufficient hepatic blood flow.