title: Acute type A aortic dissection with intestinal ischemia predicted by serum lactate elevation.
abstract: Mesenteric ischemia can complicate acute aortic dissection. We report a case of acute type A aortic dissection with perioperative intestinal ischemia, which clinically manifested on the second postoperative day. Serial monitoring of serum lactate level by a conventional blood gas analyzer was useful for early diagnosis and for timely treatment of intestinal ischemia. In this report, monitoring of serum lactate level as a key for the successful management of intestinal ischemia is suggested.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Muraki
authors.forename: Johji
authors.initials: J
authors.lastname: Fukada
authors.forename: Kiyofumi
authors.initials: K
authors.lastname: Morishita
authors.forename: Nobuyoshi
authors.initials: N
authors.lastname: Kawaharada
authors.forename: Tomio
authors.initials: T
authors.lastname: Abe
mesh_terms: D000208:Acute Disease; D000784:Aortic Dissection / Q000150:complications* / Q000601:surgery; D001014:Aortic Aneurysm / Q000150:complications* / Q000601:surgery; D006801:Humans; D007422:Intestines / Q000098:blood supply*; D007511:Ischemia / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D019344:Lactic Acid / Q000097:blood*; D008297:Male; D008641:Mesenteric Vascular Occlusion / Q000150:complications; D008875:Middle Aged
chemical_list: D019344:Lactic Acid