A Successful Surgical Repair for Mesenteric Ischemia Associated with Acute Type A Dissection / 日本心臓血管外科学会雑誌
Japanese Journal of Cardiovascular Surgery
; : 56-59, 2009.
Article
in Ja
| WPRIM
| ID: wpr-361883
Responsible library:
WPRO
ABSTRACT
A 65-year-old woman presented to a local hospital with chest, back and right leg pain. She was transferred to our hospital because her abdominal pain gradually increased. CT scan demonstrated an acute type A aortic dissection from the proximal ascending aorta to the right common iliac artery, with a 48 mm diameter in the ascending aorta. The proximal superior mesenteric artery (SMA) was completely occluded by the thrombosed false lumen. Echocardiography showed minor aortic regurgitation, and no pericardial effusion. Her hemodynamics were stable, but abdominal pain persisted. Emergency laparotomy, performed because of mesenteric infarction with intestinal necrosis, provided no evidence of any intestinal necrosis. She underwent left external iliac artery to distal SMA bypass with a saphenous vein graft, because the intestine looked pale. Then the total arch replacement was performed two days later. The patient's postoperative course was uneventful, and her abdominal symptom completely disappeared.
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Index:
WPRIM
Type of study:
Risk_factors_studies
Language:
Ja
Journal:
Japanese journal of cardiovascular surgery
Year:
2009
Type:
Article