A case of elderly in shock due to ruptured stanford type A acute aortic dissection with cardiac tamponade

: An 87-year-old female in shock was referred to our hospital. Emergency chest computed tomography and echocardiography showed a dissecting aneurysm of the ascending aorta and remarkable epicardial effusion. She was diagnosed as having rupture of Stanford type A acute aortic dissection with cardiac tamponade and an emergency operation was performed. While anesthesia was administered, cardiac arrest occurred and the chest was opened. We managed to establish an extra-corporeal circulation and performed graft replacement of the ascending aorta with GRF glue. The patient followed a satisfactory postoperative course and was discharged from the hospital at the 48th postoperative day. The proper indication for operation and minimally invasive procedure enabled us to operate on the elderly patient.