title: [Acute Type A aortic dissection with superior mesenteric arterial dissection; report of a case].
abstract: We report a case of acute type A dissection with acute abdomen due to blood flow insufficiency in the superior mesenteric artery. A 73-year-old man was presented to hospital complaining sudden onset of chest pain. Contrast-enhanced computed tomography revealed a type A aortic dissection, that extended from the ascending aorta to the left common iliac atery. Superior mesenteric artery was compressed by the thrombosed false lumen. Epigastric pain was exacerbated acutely, we decided to treat the bowel ischemia 1st, and after that, if bowel ischemia was reversible, central repair operation performed. Emergent saphenous vein bypass was performed from the right external iliac artery to the superior mesenteric artery. Then total arch replacement was performed using cardiopulmonary bypass. The patient complicated with postoperative paralytic ileus, he completely recovered without bowel resection.
authors: Department of Cardiovascular Surgery, Hayama Heart Center, Kanagawa, Japan.
authors: Taichi
authors: T
authors: Kondo
authors: Tadashi
authors: T
authors: Isomura
authors: Joji
authors: J
authors: Hoshino
authors: Yasuhisa
authors: Y
authors: Fukada
authors: Masanori
authors: M
authors: Hirota
authors: Shintaro
authors: S
authors: Katahira
authors: Takayuki
authors: T
authors: Gyoten
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000150:complications / Q000601:surgery*; D001014:Aortic Aneurysm / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior