title: [Y-graft replacement with left renal artery reconstruction for acute aortic dissection type B].
abstract: A 56-year-old male was admitted to our hospital for acute type B aortic dissection. He received conservative therapy but follow-up computed tomography (CT) revealed a low-enhanced left kidney and severe stenosis of the left common iliac artery due to the expansion of the false lumen. Serum blood urea nitrogen (BUN) and creatinine increased and renovascular hypertension worsened with severe intermittent claudication of the left leg. We performed Y-graft replacement with reconstruction of the left renal artery. Postoperative CT showed a well-enhanced left kidney and no stenosis of the left common iliac artery. Intermittent claudication and renal dysfunction improved and his hypertension became controllable. He was discharged on the 17th postoperative day.
authors: Department of Cardiovascular Surgery, Yamagata Prefectural Central Hospital, Yamagata, Japan.
authors: Shuji
authors: S
authors: Toyama
authors: Manabu
authors: M
authors: Fukasawa
authors: Yu
authors: Y
authors: Kawahara
authors: Koutarou
authors: K
authors: Suzuki
authors: Shingo
authors: S
authors: Takahara
authors: Hidenori
authors: H
authors: Tsukui
authors: Nobutoshi
authors: N
authors: Matsumura
mesh_terms: D000208:Acute Disease; D000784:Aortic Dissection / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures; D012077:Renal Artery / Q000601:surgery*