1.A Case of Visceral Ischemia Associated with Acute Stanford Type B Aortic Dissection.
Yoshihisa Morimoto ; Nobuhiko Mukouhara ; Tatsuro Asada ; Tetsuya Higami ; Hidefumi Ohbo ; Kunio Gan ; Kazuhiko Iwahashi ; Syuichi Ozawa
Japanese Journal of Cardiovascular Surgery 1996;25(6):415-418
A 36-year-old man was transported to our hospital with severe anterior chest and abdominal pain of sudden onset which was diagnosed as Stanford type B acute aortic dissection with visceral ischemia. Aortogram revealed occlusion of celiac, superior mesenteric and inferior mesenteric arteries with aortic dissection. At first, fenestration of the abdominal aorta above the inferior mesenteric artery was immediately carried out, but the abdominal pain continued. Therefore, bypass grafting for the superior mesenteric artery with saphenous vein was performed the next day. The patient's postoperative course was complicated with acute renal failure and paralytic ileus, which were treated medically and he was discharged in good condition.
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