title: Abdominal aortic grafting for spontaneous infrarenal abdominal aortic dissection.
abstract: This case report concerns a 62-year-old woman with spontaneous infrarenal abdominal aortic dissection, which developed into claudication and rest pain in the lower extremity. Multi-row detector computed tomography showed the entry site of the abdominal aortic dissection at the second lumbar artery, while the reentry site was found intraoperatively at the median sacral artery, indicating that the false lumen had progressed and compressed the true lumen. A direct approach involving grafting appears to be an effective procedure for resolving mesenteric and lower extremity hypoperfusion due to aortic dissection with a dilated false channel, even during the acute period.
authors.affiliation: Division of Vascular Surgery, Higashi Takarazuka Satoh Hospital, Takarazuka, Japan; Department of Cardiovascular Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan. hiroto@cdb.riken.go.jp
authors.forename: Hiroto
authors.initials: H
authors.lastname: Iwasaki
authors.forename: Takashi
authors.initials: T
authors.lastname: Shibuya
authors.forename: Takashi
authors.initials: T
authors.lastname: Shintani
authors.forename: Hisazumi
authors.initials: H
authors.lastname: Uenaka
authors.forename: Shigefumi
authors.initials: S
authors.lastname: Suehiro
authors.forename: Hisashi
authors.initials: H
authors.lastname: Satoh
mesh_terms: D000784:Aortic Dissection / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D006801:Humans; D035002:Lower Extremity / Q000098:blood supply*; D008875:Middle Aged; D010146:Pain / Q000209:etiology; D012039:Regional Blood Flow; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome