Infradiaphragmatic malperfusion of acute aortic dissection associated with previous abdominal aortic aneurysm repair

Ito, Toshiro; Kawaharada, Nobuyoshi; Kurimoto, Yoshihiko; Koyanagi, Toshiya; Uzuka, Takeshi; Uehara, Mayuko; Hagiwara, Takayuki; Yanase, Yohsuke; Maeda, Toshiyuki; Higami, Tetsuya

doi:10.1007/s00595-013-0524-6

Cited by 1 publication

(2 citation statements)

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“…Increased awareness of this complication, and the availability of better diagnostic tools, may improve the survival rates of patients with visceral ischemia. Ito and colleagues concluded that previous abdominal aortic aneurysm graft replacement was a risk factor for infradiaphragmatic malperfusion in patients with acute aortic dissection . Diagnostic procedures include CT, ultrasound, and laparoscopy .…”

Section: Discussionmentioning

confidence: 99%

“…Ito and colleagues concluded that previous abdominal aortic aneurysm graft replacement was a risk factor for infradiaphragmatic malperfusion in patients with acute aortic dissection . Diagnostic procedures include CT, ultrasound, and laparoscopy . Organ ischemia owing to aortic dissection often requires emergency surgery for rapid restoration of blood flow to the true lumen.…”

Section: Discussionmentioning

confidence: 99%

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Delayed visceral ischemia induced by type B aortic dissection

Kurumisawa

Sugaya

Akutsu

et al. 2014

Acute Medicine & Surgery

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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.

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Section: Discussionmentioning

confidence: 99%