A Case Report of TEVAR and Retrograde SMA Stent Implantation for Type B Aortic Dissection with Visceral Malperfusion

Abstract

We report a case of a 74-year-old man, who was emergently transported to our institution because of chest and abdominal pain. The computed tomography showed acute type B aortic dissection with superior mesenteric artery (SMA) malperfusion. Thoracic endovascular aortic repair (TEVAR) was performed to seal the primary entry, and the false lumen was sufficiently depressurized. However, SMA was still statically obstructed, thus retrograde SMA stent was successfully implanted through the small laparotomy. His postoperative course was uneventful, and he was discharged on the 20th postoperative day.