1.A Case Report of Mesenteric Ischemia in Type-A Acute Aortic Dissection without Abdominal Extension
Norihisa YUGE ; Susumu MANABE ; Daiki HIRAYAMA ; Ryoji KINOSHITA ; Yohei YAMAMOTO ; Hidetoshi UCHIYAMA ; Masahiro OONUKI ; Kazunobu HIROOKA
Japanese Journal of Cardiovascular Surgery 2020;49(1):30-34
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.
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