A Case of Endovascular Revascularization for Visceral Malperfusion Associated with Acute Type A Dissection before Central Repair
- VernacularTitle:上腸間膜動脈高度狭窄を伴う急性A型大動脈解離に対して上腸間膜動脈ステント留置を先行した症例
- Author:
Ayaka IWASAKI
1
;
Hironori BABA
1
;
Eisaku NAKAMURA
1
Author Information
- Keywords: acute type A aortic dissection; visceral malperfusion; superior mesenteric artery; endovasculer; malperfusion
- From:Japanese Journal of Cardiovascular Surgery 2024;53(4):225-229
- CountryJapan
- Language:Japanese
- Abstract: We report a case of endovascular revascularization for visceral malperfusion associated with acute type A dissection. A 53-year-old man presented with chest pain, and contrast enhanced computed tomography revealed type A dissection with an occluded superior mesenteric artery (SMA). No pericardial effusion or aortic valve insufficiency was detected. Due to concerns about the progression of bowel ischemia, we performed endovascular revascularization. Stenting the SMA resulted in improved blood flow. Additionally, a central repair (total arch replacement) was performed. The patient was discharged 20 days postoperatively without any complications.
