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.
Get full access to this article
View all access options for this article.
References
1.
DeebGMWilliamsDMBollingSFQuintLEMonaghanHSieversJ. Surgical delay for acute type A dissection with malperfusion. Ann Thorac Surg1997; 64: 1669–77.
2.
FannJISarrisGEMitchellRSShumwayNEStinsonEOyerPE. Treatment of patients with aortic dissection presenting with peripheral vascular complications. Ann Surg1990; 212: 705–13.
3.
MillerDCMitchellRSOyerPEStinsonEBJamiesonSWShumwayNE. Independent determinants of operative mortality for patients with aortic dissections. Circulation1984; 70 (Suppl I): 153–64.
JohnstonKWLindsayTFWalkerPMKalmanPG. Mesenteric arterial bypass grafts: early and late results and suggested surgical approach for chronic and acute mesenteric ischemia. Surgery1995; 118: 1–7.
6.
MoawadJMcKinseyJFWybleCWBassiounyHSSchwartzLBGewertzBL. Current results of surgical therapy for chronic mesenteric ischemia. Arch Surg1997; 132: 613–9.
