A Surgical Case of Subacute Hepatic Ischemia in a Patient with Stanford Type B Acute Aortic Dissection with Obstruction of the Celiac Artery

Abstract

A 65-year-old man was admitted to our hospital complaining of back pain. A contrast-enhanced computed tomography scan detected Stanford type B acute aortic dissection. Although the celiac artery was occluded, the distal hepatic artery was enhanced. We performed an emergent thoracic endovascular aortic repair. Levels of liver enzymes were elevated after we commenced enteral feeding. Liver ischemia was suspected due to a decrease in collateral flow. Thus, we performed hepatic artery bypass by the great saphenous vein. The finding of liver ischemia was disappeared after the surgery.