A Case Report of Mesenteric Ischemia in Type-A Acute Aortic Dissection without Abdominal Extension

VernacularTitle:胸部に限局した急性大動脈解離に発症した小腸壊死の1例
Author: Norihisa YUGE ¹ ; Susumu MANABE ¹ ; Daiki HIRAYAMA ¹ ; Ryoji KINOSHITA ¹ ; Yohei YAMAMOTO ² ; Hidetoshi UCHIYAMA ² ; Masahiro OONUKI ² ; Kazunobu HIROOKA ¹
Author Information

1. Department of Cardiac Surgery, Tsuchiura Kyodo General Hospital
2. Department of Vascular Surgery, Tsuchiura Kyodo General Hospital
Keywords: acute aortic dissection; mesenteric ischemia
From:Japanese Journal of Cardiovascular Surgery 2020;49(1):30-34
CountryJapan
Language:Japanese
Abstract: An 82-year-old woman was transferred to our hospital due to an abrupt back pain. She exhibited a cardiac tamponade and her CT angiography revealed Stanford type-A acute aortic dissection without abdominal extension. Emergent surgery for partial arch replacement was performed. After a few days of stable postoperative course, she suffered 38 degrees fever with an elevated inflammatory response and complained of a slight abdominal pain. Her CT scan revealed an intra-abdominal abscess with a small intestine necrosis. Emergent surgery for partial small intestine resection was performed. Her postoperative course was stable and she was discharged to a rehabilitation hospital 52 days after the first operation.