| Mesenteric Ischemia Complicated
with Acute Aortic Dissection: Report of a Case with Successful
Surgical Management |
(Second Department of Surgery, Yamanashi Medical
University, Yamanashi, Japan)
| Masahiro Kobayashi |
Keiji Iyori |
Syunya Sindou |
| Kihatirou Kamiya |
Yusuke Tada |
|
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An emergency saphenous vein bypass
was performed from the right internal iliac artery to the superior
mesenteric artery for ischemia due to occlusion of the superior
mesenteric artery complicated with acute DeBakey type I aortic
dissection. A 68-year-old woman underwent ascending aortic graft
replacement for acute aortic dissection as emergency procedure.
On postoperative day 4, signs and symptoms of acute mesenteric
ischemia clearly developed. Laparotomy was performed and the
saphenous vein graft was used to bypass the right internal iliac
artery and the superior mesenteric artery at the orifice of the
ileocolic artery where it was free from dissection. Because of
persistent diarrhea and cramping abdominal pain, second- and
third-look operations were necessary in order to confirm the
recovery of intestinal viability. The patient was discharged
from hospital with complete relief of abdominal symptoms 110
days after the first operation.
Jpn. J. Cardiovasc. Surg. 30: 317-320（2001) |
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