Delayed Intestinal Ischemia after Surgery for Type A Acute Aortic Dissection

Akimasa Morisaki; Yasuyuki Kato; Manabu Motoki; Yosuke Takahashi; Shinsuke Nishimura; Toshihiko Shibata

doi:10.3400/avd.cr.15-00029

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Delayed Intestinal Ischemia after Surgery for Type A Acute Aortic Dissection

Akimasa Morisaki, Yasuyuki Kato, Manabu Motoki, Yosuke Takahashi, Shinsuke Nishimura, Toshihiko Shibata

著者情報

キーワード: aortic dissection, endovascular treatment, intestinal ischemia

ジャーナルフリー早期公開

論文ID: cr.15-00029

DOI https://doi.org/10.3400/avd.cr.15-00029

この記事には本公開記事があります。

The final version of this article is now available: Vol. 8 (2015), No. 3 pp. 255-257

詳細

抄録

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.

責任著者(Corresponding author)

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