Delayed Intestinal Ischemia after Surgery for Type A Acute Aortic Dissection.
Ann Vasc Dis
; 8(3): 255-7, 2015.
Article
in En
| MEDLINE
| ID: mdl-26421078
ABSTRACT
We report a rare case of delayed intestinal ischemia after total arch replacement for type A acute aortic dissection. At the onset of acute aortic dissection, computed tomography (CT) angiography revealed celiac trunk occlusion and progressive dissection into the superior mesenteric artery without stenosis. However, following total arch replacement, visceral malperfusion was not detected by exploratory laparotomy. On postoperative day 12, the patient developed paralytic ileus without an elevated lactate level. CT angiography revealed new superior mesenteric artery stenosis by a thrombosed false lumen with persistent celiac trunk occlusion. Endovascular treatment including stent implantation resolved intestinal ischemia.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
Ann Vasc Dis
Year:
2015
Document type:
Article
Affiliation country:
Japan