A Successful Case of Emergency Bypass Grafting for Superior Mesenteric Artery in Type IIIb Acute Aortic Dissection with Intestinal Malperfusion

Abstract

A 68-year-old woman was transported to our hospital with abdominal pain of sudden onset which was diagnosed as Type IIIb acute aortic dissection. The examination of 3D-CT and MD-CT revealed the occlusion of the superior mesenteric artery with abdominal malperfusion due to aortic dissection. We performed an emergency operation, consisting of bypass grafting between the left common iliac artery and superior mesenteric artery using a saphenous vein. The postoperative course was uneventful and she was discharged in a good condition.