Document Detail

Therapeutic efficacy of continuous positive airway pressure in obstructive sleep apnea patients with acute aortic dissection: a case report.
MedLine Citation:
PMID:  20610893     Owner:  NLM     Status:  In-Process    
The coexistence of obstructive sleep apnea (OSA) may impose an additional risk on aortic dissection due to the possible increase in aortic transmural pressure. Thus, effective treatment for OSA, such as noninvasive positive pressure ventilation (NPPV), is thought to decrease the risk in patients with aortic dissection. We experienced one case of an OSA patient with aortic dissection who was successfully treated with continuous positive airway pressure (CPAP), resting and antihypertensive therapy. Few reports of this kind are available in the medical literature. A 55-year old Japanese man with sudden chest and back pain was admitted to this hospital. Acute aortic dissection De Bakey type 3b was observed by radiography and the patient was treated success-fully. In cases with a high likelihood of OSA with aortic dissection, application of CPAP treatment should be considered promptly along with resting and antihypertensive therapy, except if there are complications such as comorbidities or withholding of consent.
Suguru Yamashita; Tomotaka Dohi; Koji Narui; Shin-ichi Momomura
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Publication Detail:
Type:  Journal Article     Date:  2010-07-02
Journal Detail:
Title:  Journal of atherosclerosis and thrombosis     Volume:  17     ISSN:  1880-3873     ISO Abbreviation:  J. Atheroscler. Thromb.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-10-06     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9506298     Medline TA:  J Atheroscler Thromb     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  999-1002     Citation Subset:  IM    
Cardiovascular Center, Toranomon Hospital, Tokyo, Japan.
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