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＊

（Department of Cardiac Surgery＊, and Department of Vascular Surgery＊＊, Tsuchiura Kyodo General Hospital, Tsuchiura, Japan）

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.

 

Jpn. J. Cardiovasc. Surg. 49:30-34（2020）

Keywords：acute aortic dissection;mesenteric ischemia