Document Detail

[Acute TypeA Aortic Dissection with Superior Mesenteric Arterial Dissection; Report of a Case].
MedLine Citation:
PMID:  23445651     Owner:  NLM     Status:  In-Data-Review    
We report a case of acute type A dissection with acute abdomen due to blood flow insufficiency in the superior mesenteric artery. A 73-year-old man was presented to hospital complaining sudden onset of chest pain. Contrast-enhanced computed tomography revealed a type A aortic dissection, that extendedfrom the ascending aorta to the left common iliac atery. Superior mesenteric artery was compressed by the thrombosed falselumen. Epigastric pain was exacerbated acutely, we decided to treat the bowel ischemia 1st, and after that, if bowel ischemia was reversible, central repair operation performed. Emergentsaphenous vein bypass was performed from the right external iliac artery to the superior mesenteric artery. Then total arch replacement was performed using cardiopulmonary bypass. The patient complicated with postoperative paralytic ileus, he completely recovered without bowel resection.
Taichi Kondo; Tadashi Isomura; Joji Hoshino; Yasuhisa Fukada; Masanori Hirota; Shintaro Katahira; Takayuki Gyoten
Publication Detail:
Type:  English Abstract; Journal Article    
Journal Detail:
Title:  Kyobu geka. The Japanese journal of thoracic surgery     Volume:  66     ISSN:  0021-5252     ISO Abbreviation:  Kyobu Geka     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-02-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0413533     Medline TA:  Kyobu Geka     Country:  Japan    
Other Details:
Languages:  jpn     Pagination:  234-6     Citation Subset:  IM    
Department of Cardiovascular Surgery, Hayama Heart Center, Kanagawa, Japan.
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