title: Successful repair of mesenteric ischemia in acute type A aortic dissection.
abstract: A 64-year-old man with acute type A aortic dissection had superior mesenteric artery occlusion and marked metabolic acidosis. By an emergency laparotomy, bypass grafting from the left external iliac artery to the superior mesenteric artery was performed with great saphenous vein. After deep sedation and antihypertensive management in the intensive care unit, the acidosis resolved, and central repair was carried out. At 10 months postoperatively, his course has been uneventful without mesenteric complications.
authors.affiliation: Division of Cardiovascular Surgery, Sasebo City General Hospital, Nagasaki, Japan hisata.y@gmail.com.
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Hisata
authors.affiliation: Division of Cardiovascular Surgery, Nagasaki University Hospital, Nagasaki, Japan.
authors.forename: Ichiro
authors.initials: I
authors.lastname: Matsumaru
authors.affiliation: Division of Cardiovascular Surgery, Sasebo City General Hospital, Nagasaki, Japan.
authors.forename: Shogo
authors.initials: S
authors.lastname: Yokose
authors.affiliation: Division of Cardiovascular Surgery, Sasebo City General Hospital, Nagasaki, Japan.
authors.forename: Shiro
authors.initials: S
authors.lastname: Hazama
mesh_terms: D000784:Aortic Dissection / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001014:Aortic Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D001027:Aortography / Q000379:methods; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D008297:Male; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D065666:Mesenteric Ischemia / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D008641:Mesenteric Vascular Occlusion / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D008875:Middle Aged; D012039:Regional Blood Flow; D012501:Saphenous Vein / Q000637:transplantation*; D013152:Splanchnic Circulation; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D058017:Vascular Grafting / Q000379:methods*; D014654:Vascular Patency
chemical_list: D000959:Antihypertensive Agents
keywords: Aneurysm; aortic aneurysm; dissecting; ischemia; mesenteric vascular occlusion; regional blood flow; time factors