title: Two-staged repair for an acute type A aortic dissection with visceral ischemia after an aortic valve replacement.
abstract: There is the consensus that patients with an acute type A aortic dissection (AADA) should undergo urgent surgical treatment. However, we dared to select a two-staged repair in order to relieve the visceral ischemia first. In addition, we selected revascularization using a bypass graft without using a proximal aortic replacement or aortic fenestration, because the reason for the occlusion of the SMA was judged to be an extension of the dissection out along the proximal segment of the SMA. Consequently, we proposed that a two-staged repair of the AADA with visceral ischemia was a useful option.
authors.affiliation: Department of Cardiovascular Surgery, Urasoe General Hospital, Urasoe, Okinawa, Japan. iwaki@nms.ac.jp
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Iwaki
authors.forename: Seko
authors.initials: S
authors.lastname: Suzuki
authors.forename: Toshimi
authors.initials: T
authors.lastname: Yajima
authors.forename: Masafumi
authors.initials: M
authors.lastname: Hioki
authors.forename: Takashi
authors.initials: T
authors.lastname: Nitta
authors.forename: Masami
authors.initials: M
authors.lastname: Ochi
authors.forename: Kazuo
authors.initials: K
authors.lastname: Shimizu
mesh_terms: D000784:Aortic Dissection / Q000209:etiology / Q000601:surgery*; D001014:Aortic Aneurysm / Q000209:etiology / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery*; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D007511:Ischemia / Q000209:etiology* / Q000601:surgery; D007813:Laparotomy; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000601:surgery; D012307:Risk Factors; D014781:Viscera / Q000098:blood supply*