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Case Reports in Critical Care
Volume 2015 (2015), Article ID 513617, 3 pages
Case Report

Mediastinal Packing for Intractable Coagulopathy in Acute Aortic Dissection (Types 1 and 2 DeBakey): A Life-Saving Technique—Report of Experiences

1Atherosclerosis Prevention Research Center, Mashhad University of Medical Sciences, Imam Reza Hospital, Iran
2Imam Reza Hospital, Mashhad University of Medical Sciences, Iran
3Cardiovascular ICU, Imam Reza Hospital, Mashhad University of Medical Sciences, Iran

Received 28 May 2015; Revised 11 August 2015; Accepted 18 August 2015

Academic Editor: Claudius Diez

Copyright © 2015 Aliasghar Moeinipour et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Nonsurgical bleeding after complex thoracic aortic procedures (such as aortic dissection and aortic aneurysm) is a great challenge for cardiac surgeons because of severe coagulopathy, exsanguinous bleeding, and inevitable death. Temporary mediastinal packing (with sponge) in such cases is the only life-saving technique with good result in most cases. Herein, we presented three cases with acute aortic dissection with intractable bleeding that was successfully managed with mediastinal packing.