Thorac cardiovasc Surg 2012; 60(S 02): e31-e32
DOI: 10.1055/s-0032-1322610
Vascular Surgery
Georg Thieme Verlag KG Stuttgart · New York

Rapid Aortic Enlargement Requiring Surgery in Patients with Chronic Type B Aortic Dissection

Mitsumasa Hata
1  Department of Cardiovascular Surgery, Nihon University, Nerima Hikarigaoka Hospital, Tokyo, Japan
,
Kenji Akiyama
1  Department of Cardiovascular Surgery, Nihon University, Nerima Hikarigaoka Hospital, Tokyo, Japan
,
Shinji Wakui
1  Department of Cardiovascular Surgery, Nihon University, Nerima Hikarigaoka Hospital, Tokyo, Japan
,
Ayako Takasaka
1  Department of Cardiovascular Surgery, Nihon University, Nerima Hikarigaoka Hospital, Tokyo, Japan
,
Motomi Shiono
1  Department of Cardiovascular Surgery, Nihon University, Nerima Hikarigaoka Hospital, Tokyo, Japan
› Author Affiliations
Further Information

Publication History

12 December 2011

10 April 2012

Publication Date:
24 November 2012 (eFirst)

  

Abstract

We report the relationship between rapid aortic enlargement of chronic type B aortic dissection and sleep disorder due to anxiety after Tohoku disaster. Five patients underwent surgical procedures due to rapid aortic enlargement after the earthquake disaster. They reported that their morning blood pressure increased to approximately 190 mm Hg after the disaster. They were troubled with severe insomnia due to anxiety about the continuing aftershocks. In primary care for patients with mental stress after a big disaster, it is important to keep a careful monitoring of blood pressure besides assessment of anxiety and sleep.