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Acute Type B Aortic Dissection Complicated with Malperfusion of Celiac Artery Alone;Report of a Case Motohiro Koyama 1 , Kae Ito 1 , Keishi Ueyama 1 1Department of Cardiovascular Surgery, Japanese Red Cross Asahikawa Hospital Keyword: aortic dissection , celiac artery , malperfusion , pancreatitis pp.1025-1027
Published Date 2017/11/1
DOI https://doi.org/10.15106/j_kyobu70_1025
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Malperfusion of the superior mesenteric artery (SMA) in acute type B aortic dissection is potentially fatal. Revascularization should therefore be aggressively considered in a proactive way. However, this is not the case with the celiac artery malperfusion. We present a case of malperfusion of isolated malperfusion of the celiac artery due to acute type B aortic dissection. Although the collateral blood flow from the SMA via the pancreatic arcade was identified, ischemic gastric ulcer and pancreatitis developed later on. At present, there is a general agreement that catheter intervention is the 1st treatment of choice for complicated acute type B aortic dissection. In the present case, however, even a guide wire did not pass through the orifice of the celiac artery and revascularization was not successful.


© Nankodo Co., Ltd., 2017

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電子版ISSN 2432-9436 印刷版ISSN 0021-5252 南江堂

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