Ascending aorto-superior mesenteric artery bypass as a surgical option for revascularization in mesenteric ischemia associated with type B aortic dissection

Afksendiyos Kalangos; Gino Gemayel; Dominique Vala; Ebrahim Khabiri; Damiano Mugnai; Nicolas Murith

doi:10.1016/j.avsg.2013.07.031

Ascending aorto-superior mesenteric artery bypass as a surgical option for revascularization in mesenteric ischemia associated with type B aortic dissection

Ann Vasc Surg. 2014 May;28(4):1036.e1-3. doi: 10.1016/j.avsg.2013.07.031. Epub 2013 Nov 8.

Authors

Afksendiyos Kalangos¹, Gino Gemayel², Dominique Vala², Ebrahim Khabiri², Damiano Mugnai², Nicolas Murith²

Affiliations

¹ Division of Cardiovascular Surgery, University Hospital of Geneva, Medical School, University of Geneva, Geneva, Switzerland. Electronic address: [email protected].
² Division of Cardiovascular Surgery, University Hospital of Geneva, Medical School, University of Geneva, Geneva, Switzerland.

PMID: 24216405
DOI: 10.1016/j.avsg.2013.07.031

Abstract

We report the case of an acute ischemia of the superior mesenteric artery (SMA) after endovascular fenestration of a complicated acute type B aortic dissection. An initial attempt for endovascular revascularization of the SMA failed, and an ascending aorto-superior mesenteric artery bypass was urgently performed to salvage the small bowel. Surgery of patients in these specific settings is more complex because an adequate, more distal inflow vessel is often not present due to the dissected aorta and iliac arteries. This surgical option could be lifesaving and should be part of the vascular surgeon's armamentarium.

Publication types

Case Reports

MeSH terms

Aorta / physiopathology
Aorta / surgery*
Aortic Aneurysm / diagnosis
Aortic Aneurysm / surgery*
Aortic Dissection / diagnosis
Aortic Dissection / surgery*
Aortography / methods
Blood Vessel Prosthesis Implantation / adverse effects*
Endovascular Procedures / adverse effects*
Female
Humans
Mesenteric Artery, Superior / physiopathology
Mesenteric Artery, Superior / surgery*
Mesenteric Ischemia / diagnosis
Mesenteric Ischemia / etiology
Mesenteric Ischemia / physiopathology
Mesenteric Ischemia / surgery*
Mesenteric Vascular Occlusion / diagnosis
Mesenteric Vascular Occlusion / etiology
Mesenteric Vascular Occlusion / physiopathology
Mesenteric Vascular Occlusion / surgery*
Middle Aged
Reoperation
Splanchnic Circulation
Tomography, X-Ray Computed
Treatment Outcome