雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Celiac Artery Bypass Grafting from the Ascending Aorta Following Aortic Repair for Treatment of Stanford Type A Acute Aortic Dissection Complicated by Abdominal Malperfusion:Report of a Case Yuji Morishima 1 , Katsuya Arakaki 1 , Yukio Kuniyoshi 1 1Department of Cardiovascular Surgery, Urasoe General Hospital Keyword: acute aortic dissection , abdominal malperfusion , celiac artery bypass pp.234-237
Published Date 2023/3/1
DOI https://doi.org/10.15106/j_kyobu76_234
  • Abstract
  • Look Inside
  • Reference

A 73-year-old woman presented with sudden chest and back pain. Computed tomography (CT) revealed Stanford type A acute aortic dissection complicated by occlusion of the celiac artery and stenosis of the superior mesenteric artery. Because there was no clear sign of critical abdominal organ ischemia before surgery, central repair was performed first. Then, after cardiopulmonary bypass, laparotomy was performed to check the blood flow in the abdominal organs. Malperfusion of the celiac artery remained. We therefore made an ascending aorta-common hepatic artery bypass using a great saphenous vein graft. Postoperatively, the patient was saved from irreversible abdominal malperfusion, however, her condition was complicated by paraparesis due to spinal cord ischemia. After a long period of rehabilitation, she was transferred to another hospital for rehabilitation. She is currently doing well at 15 months after treatment.


© Nankodo Co., Ltd., 2023

基本情報

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

関連文献

もっと見る

文献を共有