Skip to main content
SpringerLink
Log in

Percutaneous Mesenteric Stenting followed by Laparoscopic Exploration for Visceral Malperfusion in Acute Type B Aortic Dissection

  • Case Reports
  • Published:
Annals of Vascular Surgery

Abstract

A 55-year-old man underwent percutaneous mesenteric and left renal stenting for malperfusion in acute type B aortic dissection. Laparoscopic exploration was performed immediately after percutaneous revascularization to ensure the integrity of the abdominal viscera. Because the diagnosis of mesenteric infarction may sometimes be difficult and its delay can be fatal, we advocate laparoscopic exploration as a mini-invasive method after percutaneous management of visceral malperfusion, if the integrity of the abdominal viscera needs to be verified.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1.
Fig. 2.
Fig. 3.

References

  1. Slonim SM, Nyman U, Semba CP, et al. Aortic dissection: percutaneous management of ischemic complications with endovascular stents and balloon fenestration. J Vasc Surg 1996;23:241–251

    Article  PubMed  CAS  Google Scholar 

  2. Greenberg R, Khwaja J, Haulon S, et al. Aortic dissections: new perspectives and treatment paradigms. Eur J Vasc Endovasc Surg 2003;26:579–586

    Article  PubMed  CAS  Google Scholar 

  3. Vedantham S, Picus D, Sanchez LA, et al. Percutaneous management of ischemic complications in patients with type-B aortic dissection. J Vasc Interv Radiol 2003;14:181–194

    PubMed  Google Scholar 

  4. Lauterbach SR, Cambria RP, Brewster DC, et al. Contemporary management of aortic branch compromise resulting from acute aortic dissection. J Vasc Surg 2001;33:1185–1192

    Article  PubMed  CAS  Google Scholar 

  5. Anadol AZ, Ersoy E, Taneri F, et al. Laparoscopic “second-look” in the management of mesenteric ischemia. Surg Laparosc Endosc Percutan Tech 2004;14:191–193

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Cardiovascular Surgery, Hokkaido University Hospital, Sapporo, Japan

    Norihiko Shiiya MD, Tsuyoshi Tachibana MD, Kenji Matsuzaki MD & Takashi Kunihara MD

  2. Department of Radiology, Hokkaido University Hospital, Sapporo, Japan

    Akihiro Sawada MD

  3. Second Department of Surgery, Hokkaido University Hospital, Sapporo, Japan

    Eiichi Tanaka MD

  4. Department of Cardiovascular Surgery, Hokkaido University Hospital, N14W5, Kita-ku, Sapporo, 060-8648, Japan

    Norihiko Shiiya MD

Authors
  1. Norihiko Shiiya MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Akihiro Sawada MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Eiichi Tanaka MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Tsuyoshi Tachibana MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Kenji Matsuzaki MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Takashi Kunihara MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Norihiko Shiiya MD.

About this article

Cite this article

Shiiya, N., Sawada, A., Tanaka, E. et al. Percutaneous Mesenteric Stenting followed by Laparoscopic Exploration for Visceral Malperfusion in Acute Type B Aortic Dissection. Ann Vasc Surg 20, 521–524 (2006). https://doi.org/10.1007/s10016-006-9034-y

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10016-006-9034-y

Keywords

Search

Navigation