Bail-out visceral bypass grafting for acute intestinal ischemia after endovascular stent-graft placement in a complicated type B dissection.
We report on the case of a 35-year-old male who underwent emergency stent-graft placement in March 2007 due to a complicated type B dissection. One week after this procedure the patient developed critical visceral malperfusion. Subsequently, autologous iliaco-mesenteric as well as iliaco-hepatic bypass grafting was performed. At 6-month follow-up, aortic remodelling has occurred and visceral perfusion is regular.
Holfeld
J
J
Department of Cardiothoracic Surgery, Medical University Vienna, Vienna, Austria.
Gottardi
R
R
Zimpfer
D
D
Funovics
M
M
Schoder
M
M
Holzenbein
T
T
Weigang
E
E
Lammer
J
J
Wolner
E
E
Grimm
M
M
Czerny
M
M
D000328:Adult; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D000925:Anticoagulants / Q000627:therapeutic use; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D006499:Hepatic Artery / Q000601:surgery; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D007422:Intestines / Q000098:blood supply; D007511:Ischemia / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D008297:Male; D017538:Mesenteric Artery, Superior / Q000601:surgery; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D012501:Saphenous Vein / Q000637:transplantation*; D015607:Stents; D014057:Tomography, X-Ray Computed; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D014781:Viscera / Q000098:blood supply*
D000925:Anticoagulants; D010975:Platelet Aggregation Inhibitors