Type B dissection complicated with subacute visceral ischemia.
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.
Yamashiro
Satoshi
S
Second Department of Surgery, School of Medicine, Faculty of Medicine, University of Ryukyus, Nishihara, Okinawa, Japan. nigeka@med.u-ryukyu.ac.jp
Kuniyoshi
Yukio
Y
Miyagi
Kazufumi
K
Uezu
Toru
T
Arakaki
Katsuya
K
Koja
Kageharu
K
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