title: Mesenteric artery fenestration for type B dissection with visceral ischemia.
abstract: We describe a successful case of direct superior mesenteric artery fenestration for an acute type B dissection complicated by bowel necrosis in a 68-year-old man. At 11 days after the onset, computed tomography showed superior mesenteric artery obstruction. We fenestrated and connected the true lumen to the false lumen of the superior mesenteric artery, and performed thrombectomy in both lumens. A bowel resection was carried out immediately. The patient was discharged uneventfully after recovery.
authors.affiliation: Department of Cardiovascular Surgery, Matsue Red Cross Hospital, Horo-machi 200, Matsue, Shimane, Japan. sykyy85410@ybb.ne.jp
authors.forename: Yuhei
authors.initials: Y
authors.lastname: Saitoh
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Ohmori
authors.forename: Yoko
authors.initials: Y
authors.lastname: Hari
authors.forename: Shuji
authors.initials: S
authors.lastname: Setozaki
authors.forename: Hisao
authors.initials: H
authors.lastname: Harada
authors.forename: Takeshi
authors.initials: T
authors.lastname: Soeda
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000150:complications / Q000601:surgery*; D001014:Aortic Aneurysm / Q000150:complications / Q000601:surgery*; D006801:Humans; D007511:Ischemia / Q000150:complications / Q000601:surgery*; D008297:Male; D008638:Mesenteric Arteries / Q000601:surgery*; D014781:Viscera / Q000098:blood supply*