Author(s)

Yoshiro Kikuoka¹, Naoki Fujimura², Yu Michiura¹, Tomohiro Kamagata¹, Yumi Tsuchiya¹, Shiho Irino¹, Motojiro Takebe¹, Yoko Sugawara¹, Satoshi Ohtsubo², Kazuhiko Sekine¹

¹Department of Emergency and Critical Care Medicine, Tokyo Saiseikai Central Hospital, Tokyo, Japan.
²Department of Cardiovascular Surgery, Tokyo Saiseikai Central Hospital, Tokyo, Japan.

Background and Aim: Reports on recovery from Stanford type A aortic dissection (TAAD) leading to cardiopulmonary arrest (CPA) are few. In retrograde TAAD (r-TAAD) cases, some authors reported the efficacy of thoracic endovascular aortic repair (TEVAR). However, only a few reports chose TEVAR for the treatment of r-TAAD resulting in cardiac arrest before hospital arrival. We report a case of r-TAAD presenting with cardiac arrest before hospital arrival not indicated for surgery but TEVAR as treatment. Case: A 65-year-old woman with a history of Marfan syndrome presented to the emergency department after a CPA. Sequential return of spontaneous circulation was achieved 27 min after CPA. Contrast-enhanced computed tomography showed retrograde r-TAAD with an entry tear to the false lumen in the thoracic descending aorta. Therefore, thoracic endovascular aortic repair (TEVAR) was performed with r-TAAD. Afterward, the clinical course was stabilized. This patient suggests that TEVAR is an effective option for the treatment of patients with hemodynamically unstable r-TAAD, even after CPA. Conclusion: TEVAR can lead to a successful recovery from cardiac arrest due to r-TAAD.

Acute Aortic Dissection, Cardiac Tamponade, Cardiopulmonary Arrest on Arrival, Retrograde Stanford Type A Aortic Dissection, r-TAAD, Thoracic Endovascular Aortic Repair, TEVAR

Kikuoka, Y. , Fujimura, N. , Michiura, Y. , Kamagata, T. , Tsuchiya, Y. , Irino, S. , Takebe, M. , Sugawara, Y. , Ohtsubo, S. and Sekine, K. (2021) Thoracic Endovascular Aortic Repair for Cardiopulmonary Arrest Due to Aortic Dissection. Case Reports in Clinical Medicine, 10, 387-392. doi: 10.4236/crcm.2021.1011048.