PMC7073471_01
Preoperative enhanced computed tomography (CT) image shows (a) acute type A aortic dissection, (b) superior mesenteric artery perfusion from the true lumen, (c) left kidney not well enhanced, and (d) dissected lumen extending to the terminal aorta.
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fig1
She was diagnosed with ATAAD using enhanced computed tomography (CT), which revealed the presence of a wide-spread patent false lumen from the sinus of Valsalva to the terminal abdominal aorta and poor enhancement of the left kidney (Figure 1).
Graph shows the postoperative clinical course. Hb: haemoglobin, PLT: platelet count, Cre: creatinine, RBC: red blood cell, FFP: fresh frozen plasma, PC: platelet concentrates, HD: hemodialysis, and PE: plasma exchange.
CRIHEM2020-2467953.002.jpg
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fig2
However, renal function did not recover, and maintenance hemodialysis was needed.  Figure 2 shows the postoperative clinical course.