Percutaneous mesenteric stenting followed by laparoscopic exploration for visceral malperfusion in acute type B aortic dissection.
A 55-year-old man underwent percutaneous mesenteric and left renal stenting for malperfusion in acute type B aortic dissection. Laparoscopic exploration was performed immediately after percutaneous revascularization to ensure the integrity of the abdominal viscera. Because the diagnosis of mesenteric infarction may sometimes be difficult and its delay can be fatal, we advocate laparoscopic exploration as a mini-invasive method after percutaneous management of visceral malperfusion, if the integrity of the abdominal viscera needs to be verified.
Shiiya
Norihiko
N
Department of Cardiovascular Surgery, Hokkaido University Hospital, Sapporo, Japan. shiyanor@med.hokudai.ac.jp
Sawada
Akihiro
A
Tanaka
Eiichi
E
Tachibana
Tsuyoshi
T
Matsuzaki
Kenji
K
Kunihara
Takashi
T
D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000628:therapy*; D000800:Angioplasty, Balloon; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000628:therapy*; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000628:therapy*; D007677:Kidney Function Tests; D010535:Laparoscopy; D008297:Male; D008641:Mesenteric Vascular Occlusion / Q000000981:diagnostic imaging / Q000628:therapy*; D008875:Middle Aged; D012078:Renal Artery Obstruction / Q000000981:diagnostic imaging / Q000628:therapy*; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014781:Viscera / Q000098:blood supply*