KAATSU training after Bentall procedure for aortic dissection associated with Marfan syndrome: a case report

抄録

We describe our experience with a patient who underwent KAATSU training combined with branched-chain amino acid (BCAA) intake after a Bentall procedure performed for aortic dissection associated with Marfan syndrome. This 33-year-old man experienced a waxing and waning postoperative course, with multiple complications including reoperation and subsequent severe disuse syndrome. In addition to conventional rehabilitation with bed-mobility and muscle-strengthening training, we prescribed KAATSU training combined with BCAA intake. Before training, it was difficult for the patient to get out of bed. However, after the KAATSU training, he exhibited gradual improvements in knee extension strength, skeletal muscle index, and quadriceps muscle thickness. His walking ability recovered to an independent level, and although he still had right upper limb paralysis and mild aphasia, he was eventually able to return to work. KAATSU training allows patients to improve their physical function safely and enables them to return to society even after serious cardiovascular surgery.