Delayed visceral malperfusion in aortic dissection-successful surgical revascularization using a saphenous vein graft.
Obstruction of the thoracoabdominal aorta and/or its branches with subsequent organ ischemia is a frequent complication of aortic dissection. Surgical and percutaneous fenestrations have been used and endovascular stenting has emerged as an additional less invasive approach. In some cases, surgical revascularization may be the most successful procedure. We report two patients who underwent surgical revascularization of the celiac trunk and superior mesenteric artery for delayed abdominal malperfusion due to aortic dissection.
Kipfer
Beat
B
Department of Cardiovascular Surgery, University Hospital, CH-3010 Bern, Switzerland.
Savolainen
Hannu
H
Egger
Bernhard
B
Carrel
Thierry P
TP
D000784:Aortic Dissection / Q000150:complications* / Q000601:surgery; D001014:Aortic Aneurysm / Q000150:complications* / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D002445:Celiac Artery / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D008297:Male; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging / Q000601:surgery; D008875:Middle Aged; D012092:Replantation / Q000379:methods; D012501:Saphenous Vein / Q000637:transplantation*; D014057:Tomography, X-Ray Computed