title: Lifesaving Treatment of Acute Stanford B Aortic Dissection Complicated by Intestinal Ischemia with Stent Placement in the Superior Mesenteric Artery: A Case Report.
abstract: A 44-year-old man was transported to our hospital with chief complaints of back pain and paralysis of the leg. Contrast-enhanced computed tomography (CT) imaging revealed an acute Stanford B aortic dissection (AD), which was complicated by acute arterial occlusion of the left external iliac artery. The patient was treated by femorofemoral crossover bypass. Thereafter, abdominal pain was noted, and the patient was diagnosed with intestinal ischemia due to occlusion of the celiac artery and superior mesenteric artery (SMA). A stent was emergently placed into SMA. Subsequently, the patient demonstrated good postoperative progress and was discharged on hospital day 27.
authors.affiliation: Department of Cardiovascular Surgery, Nerima Hikarigaoka Hospital, Tokyo, Japan.
authors.forename: Kenichiro
authors.initials: K
authors.lastname: Sato
authors.affiliation: Department of Cardiovascular Surgery, Nerima Hikarigaoka Hospital, Tokyo, Japan.
authors.forename: Ryo
authors.initials: R
authors.lastname: Itagaki
authors.affiliation: Department of Cardiology, Nerima Hikarigaoka Hospital, Tokyo, Japan.
authors.forename: Kenshiro
authors.initials: K
authors.lastname: Arao
authors.affiliation: Department of Radiology, Nerima Hikarigaoka Hospital, Tokyo, Japan.
authors.forename: Kouzou
authors.initials: K
authors.lastname: Makita
keywords: SMA stent; acute Stanford B aortic dissection; malperfusion