[Acute type A aortic dissection associated with intestinal necrosis].
We report a case with acute type A aortic dissection associated with occlusion of the celiac artery (CA) and the superior mesenteric artery (SMA) who underwent replacement of the aortic valve and the ascending aorta concomitant with CA and SMA bypass grafting and partial resection of the ileum and the cecum. A 79-year-old man who has a history of Y-graft replacement of abdominal aortic aneurysm developed re-dissection of thrombosed type A acute dissection 2 weeks after the onset. We performed CA and SMA bypass grafting followed by replacement of the aortic valve and the ascending aorta. In spite of successful revascularization of the CA and SMA, residual necrosis in the ileum and the cecum necessitated resection of them. He was discharged 11 months postoperatively without neurological sequelae.
Kunihara
Takashi
T
Department of Cardiovascular Surgery, Hokkaido University School of Medicine, Sapporo, Japan.
Matsui
Y
Y
Murashita
T
T
Shiiya
N
N
Oka
J
J
Yasuda
K
K
D000368:Aged; D000784:Aortic Dissection / Q000601:surgery*; D001011:Aorta / Q000601:surgery; D001014:Aortic Aneurysm / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000150:complications; D019917:Blood Vessel Prosthesis Implantation; D002445:Celiac Artery / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D007422:Intestines / Q000473:pathology*; D008297:Male; D017538:Mesenteric Artery, Superior / Q000601:surgery; D009336:Necrosis