title: Type B dissection complicated with subacute visceral ischemia.
abstract: A 63-year old man presented with back pain and abdominal pain that worsened after eating. Contrast-enhanced computed tomography revealed type B aortic dissection. Arteriography 20 days after dissection revealed celiac trunk stenosis and the superior mesenteric artery did not arise from the true lumen. Saphenous vein bypass grafting from the right common iliac artery to the superior mesenteric and gastroduodenal arteries was performed. The postoperative course was uneventful and the abdominal symptoms completely disappeared.
authors.affiliation: Second Department of Surgery, School of Medicine, Faculty of Medicine, University of Ryukyus, Nishihara, Okinawa, Japan. nigeka@med.u-ryukyu.ac.jp
authors.forename: Satoshi
authors.initials: S
authors.lastname: Yamashiro
authors.forename: Yukio
authors.initials: Y
authors.lastname: Kuniyoshi
authors.forename: Kazufumi
authors.initials: K
authors.lastname: Miyagi
authors.forename: Toru
authors.initials: T
authors.lastname: Uezu
authors.forename: Katsuya
authors.initials: K
authors.lastname: Arakaki
authors.forename: Kageharu
authors.initials: K
authors.lastname: Koja
mesh_terms: D000784:Aortic Dissection / Q000150:complications / Q000175:diagnosis*; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000175:diagnosis*; D019917:Blood Vessel Prosthesis Implantation; D002445:Celiac Artery / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D007511:Ischemia / Q000150:complications / Q000175:diagnosis*; D008297:Male; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D012501:Saphenous Vein / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014781:Viscera / Q000098:blood supply* / Q000000981:diagnostic imaging