Display options
Cite
Kurumisawa S, Sugaya A, Akutsu H, et al. Delayed visceral ischemia induced by type B aortic dissection. Acute Med Surg. 2014;2(2):131-133doi: 10.1002/ams2.87.
Kurumisawa, S., Sugaya, A., Akutsu, H., Takazawa, I., Ohki, S. I., & Misawa, Y. (2015). Delayed visceral ischemia induced by type B aortic dissection. Acute medicine & surgery, 2(2), 131-133. https://doi.org/10.1002/ams2.87
Kurumisawa, Soki, et al. "Delayed visceral ischemia induced by type B aortic dissection." Acute medicine & surgery vol. 2,2 (2015): 131-133. doi: https://doi.org/10.1002/ams2.87
Kurumisawa S, Sugaya A, Akutsu H, Takazawa I, Ohki SI, Misawa Y. Delayed visceral ischemia induced by type B aortic dissection. Acute Med Surg. 2014 Oct 20;2(2):131-133. doi: 10.1002/ams2.87. eCollection 2015 Apr. PMID: 29123708; PMCID: PMC5667216.
Copy Download .nbib Format: NLM
Share it on

Acute Med Surg. 2014 Oct 20;2(2):131-133. doi: 10.1002/ams2.87. eCollection 2015 Apr.

Delayed visceral ischemia induced by type B aortic dissection.

Acute medicine & surgery

Soki Kurumisawa, Akira Sugaya, Hirohiko Akutsu, Ippei Takazawa, Shin-Ichi Ohki, Yoshio Misawa

Affiliations

  1. Division of Cardiovascular Surgery Jichi Medical University Shimotsuke Japan.

PMID: 29123708 PMCID: PMC5667216 DOI: 10.1002/ams2.87

Abstract

CASE: A 56-year-old man presented with a sudden severe abdominal pain 13 days after the onset of type B acute aortic dissection. Chest computed tomography revealed type B aortic dissection, and the true lumen was narrowed by the expanding false lumen. Blood flow through the celiac trunk, superior mesenteric artery, and left renal artery was reduced. Blood flow through the distal abdominal aorta and bilateral femoral arteries was clearly recognized. Laboratory findings such as transaminases were rapidly worsening.

OUTCOME: The patient underwent emergency fenestration of the abdominal aorta and recovered without organ failure.

CONCLUSIONS: Rapidly worsening laboratory findings led us to emergency operation with successful results. Serial monitoring of laboratory findings is the key for adequate timing of operation.

Keywords: acute aortic dissection; aortic fenestration; visceral ischemia

References

  1. Ann Thorac Cardiovasc Surg. 2012;18(2):158-61 - PubMed
  2. Interact Cardiovasc Thorac Surg. 2011 May;12(5):835-6 - PubMed
  3. Surg Today. 2013 Sep;43(9):1019-24 - PubMed
  4. Ann Vasc Dis. 2011;4(4):293-8 - PubMed
  5. Interact Cardiovasc Thorac Surg. 2012 Oct;15(4):794-6 - PubMed
  6. J Endovasc Ther. 2011 Feb;18(1):78-86 - PubMed
  7. Circ J. 2012;76(3):650-4 - PubMed
  8. Radiol Med. 2013 Feb;118(1):74-88 - PubMed
  9. Kyobu Geka. 2012 Jul;65(8):653-9 - PubMed

Publication Types