title: [Continuous monitoring of hepatic venous oxygen saturation (SHVO2) as a new diagnostic indicator of abdominal malperfusion in acute aortic dissection].
abstract: A 73-year-old woman was admitted with sudden-onset back and abdominal pain. Computed tomography scanning revealed type B acute aortic dissection with narrowing of the true lumen. We inserted an oximetric catheter into the right hepatic vein and started continuous measurement of ShvO2. The initial value was 20%. Consecutive aortograms showed an intimal tear in the thoracic descending aorta. Endovascular stent graft placement was performed to close the entry, and ShvO2 rose to more than 60% immediately after the stent graft expansion. ShvO2 is an excellent indicator of abdominal blood flow, not only for early diagnosis but also for the evaluation of treatment.
authors.affiliation: Critical Care and Emergency Center, Yokohama City University Medical Center, Yokohama, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Uchida
authors.forename: N
authors.initials: N
authors.lastname: Karube
authors.forename: K
authors.initials: K
authors.lastname: Imoto
authors.forename: J
authors.initials: J
authors.lastname: Kondo
authors.forename: M
authors.initials: M
authors.lastname: Tobe
authors.forename: S
authors.initials: S
authors.lastname: Suzuki
authors.forename: S
authors.initials: S
authors.lastname: Isoda
authors.forename: N
authors.initials: N
authors.lastname: Hashiyama
authors.forename: Y
authors.initials: Y
authors.lastname: Jin
authors.forename: T
authors.initials: T
authors.lastname: Mori
authors.forename: K
authors.initials: K
authors.lastname: Date
authors.forename: M
authors.initials: M
authors.lastname: Sugiyama
authors.forename: Y
authors.initials: Y
authors.lastname: Takanasi
mesh_terms: D000005:Abdomen / Q000098:blood supply*; D000208:Acute Disease; D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000175:diagnosis*; D005260:Female; D006503:Hepatic Veins; D006801:Humans; D007511:Ischemia / Q000150:complications / Q000175:diagnosis*; D008991:Monitoring, Physiologic; D010092:Oximetry; D010100:Oxygen / Q000097:blood*; D010313:Partial Pressure
chemical_list: D010100:Oxygen