[Treatment of acute type B aortic dissection with organ ischemia].
Nine patients, who suffered from acute type B aortic dissection with organ ischemia, were treated at our hospital from 2004 to 2006. Their mean age was 60.3 (range 37-73) years. Eight of them required surgical intervention. Two patients with mesenteric-ischemia underwent superior mesenteric artery (SMA) bypass surgery and their conditions were relieved. However, 1 of them died of aortic rupture 6 months later. One patient with celiac artery occlusion was at first treated nonsurgically, but was subjected to resection of the small intestine 3 weeks later because of ulcer perforation induced by ischemia. The other 5 patients with lower extremity ischemia underwent bypass surgery and were discharged. Bypass surgery is a reliable procedure for the treatment of acute type B aortic dissection with organ ischemia, allowing prompt resolution of ischemia.
Takahashi
Kouki
K
Department of Cardiovascular Surgery, Hoshi General Hospital, Koriyama, Japan.
Takahashi
S
S
D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D017023:Coronary Angiography; D005260:Female; D006801:Humans; D007511:Ischemia / Q000209:etiology / Q000601:surgery*; D008297:Male; D017538:Mesenteric Artery, Superior / Q000601:surgery; D008641:Mesenteric Vascular Occlusion / Q000601:surgery*; D008875:Middle Aged; D014057:Tomography, X-Ray Computed