Early superior mesenteric artery revascularization for acute type A aortic dissection with cardiac tamponade and mesenteric malperfusion
| Autor: | Naoyuki Kimura, Sho Kusadokoro, Manabu Shiraishi, Kosuke Miyoshi, Atsushi Yamaguchi, Daijiro Hori |
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| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
Aortic dissection medicine.medical_specialty business.industry medicine.medical_treatment Dissection (medical) 030204 cardiovascular system & hematology Hemopericardium medicine.disease Revascularization Surgery 03 medical and health sciences 0302 clinical medicine 030228 respiratory system Celiac artery Mesenteric ischemia medicine.artery Cardiac tamponade cardiovascular system medicine Superior mesenteric artery Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Cardiac Surgery. 35:3581-3584 |
| ISSN: | 1540-8191 0886-0440 |
| Popis: | We report herein the successful treatment of a case of acute type A aortic dissection complicated by cardiac tamponade and mesenteric malperfusion. The patient was a 60-year-old man with back and abdominal pain and in shock, who was transported to our hospital 2 h after symptom onset. Computed tomography revealed DeBakey type I dissection with massive hemopericardium and obstruction of both the celiac artery and superior mesenteric artery. After emergency pericardiotomy and removal of the hematoma, superior mesenteric artery-external iliac artery bypass was constructed with a vein graft, and this restored mesenteric perfusion. Open distal hemiarch replacement was then performed. The postoperative course was uneventful. Superior mesenteric artery revascularization achieved immediately after release of the cardiac tamponade prevented further mesenteric ischemia and paved the way for the aortic repair. |
| Databáze: | OpenAIRE |
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