Type B dissection complicated with subacute visceral ischemia

Asian Cardiovasc Thorac Ann. 2004 Jun;12(2):162-4. doi: 10.1177/021849230401200217.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Aortic Aneurysm, Abdominal / complications
  • Aortic Aneurysm, Abdominal / diagnosis*
  • Aortic Dissection / complications
  • Aortic Dissection / diagnosis*
  • Blood Vessel Prosthesis Implantation
  • Celiac Artery / diagnostic imaging
  • Celiac Artery / pathology
  • Celiac Artery / surgery
  • Humans
  • Iliac Artery / diagnostic imaging
  • Iliac Artery / pathology
  • Iliac Artery / surgery
  • Ischemia / complications
  • Ischemia / diagnosis*
  • Male
  • Mesenteric Artery, Superior / diagnostic imaging
  • Mesenteric Artery, Superior / pathology
  • Mesenteric Artery, Superior / surgery
  • Middle Aged
  • Saphenous Vein / diagnostic imaging
  • Saphenous Vein / pathology
  • Saphenous Vein / surgery
  • Tomography, X-Ray Computed
  • Viscera / blood supply*
  • Viscera / diagnostic imaging