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Asian Cardiovasc Thorac Ann 2004;12:162-164
© 2004 Asia Publishing EXchange Ltd

CASE STUDY

Type B Dissection Complicated with Subacute Visceral Ischemia

Satoshi Yamashiro, MD, Yukio Kuniyoshi, MD, Kazufumi Miyagi, MD, Toru Uezu, MD, Katsuya Arakaki, MD, Kageharu Koja, MD

Second Department of Surgery, School of Medicine, University of Ryukyus, Okinawa, Japan

For reprint information contact: Satoshi Yamashiro, MD Tel: 81 98 895 1168 Fax: 81 98 895 1422 Email: nigeka{at}med.u-ryukyu.ac.jp Second Department of Surgery, School of Medicine, Faculty of Medicine, University of Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, Japan.

A 63-year old man presented with back pain and abdominal pain that worsened after eating. Contrast-enhanced computed tomography revealed type B aortic dissection. Arteriography 20 days after dissection revealed celiac trunk stenosis and the superior mesenteric artery did not arise from the true lumen. Saphenous vein bypass grafting from the right common iliac artery to the superior mesenteric and gastroduodenal arteries was performed. The postoperative course was uneventful and the abdominal symptoms completely disappeared.




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J. P. Verhoye, D. C. Miller, D. Sze, M. D. Dake, and R. S. Mitchell
Complicated acute type B aortic dissection: midterm results of emergency endovascular stent-grafting.
J. Thorac. Cardiovasc. Surg., August 1, 2008; 136(2): 424 - 430.
[Abstract] [Full Text] [PDF]


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