Abstract
A 54-year-old man underwent emergency total arch graft replacement for acute aortic dissection. On the 2nd postoperative day, he showed signs of acute mesenteric ischemia and abdominal computed tomography showed severe stenosis of the superior mesenteric artery (SMA). We performed emergency laparotomy and angioplasty of the SMA. His blood flow to the SMA improved, and the operation was completed without bowel resection. After a period of stay in intensive care, he began eating from the 35th postoperative day and was discharged on the 89th postoperative day.
