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Superior mesenteric artery plasty for type A acute aortic dissection with visceral ischemia

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Abstract

Treatment of visceral ischemia complicated with acute type A aortic dissection is controversial. We had two cases of acute type A aortic dissection complicated by superior mesenteric artery (SMA) ischemia and successfully treated them with direct SMA perfusion during central aortic repair followed by SMA plasty. The presented procedures can be an option to treat visceral ischemia with a standard operative theater and equipment.

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References

  1. Di Eusanio M, Trimarchi S, Patel HJ, Hutchison S, et al. Clinical presentation, management, and short-term outcome of patients with type A acute dissection complicated by mesenteric malperfusion: observations from the International Registry of Acute Aortic Dissection. J Thorac Cardiovasc Surg. 2013;145(2):385–90.

    Article  PubMed  Google Scholar 

  2. Yagdi T, Atay Y, Engin C, et al. Impact of organ malperfusion on mortality and morbidity in acute type A aortic dissections. J Card Surg. 2006;21(4):363–9.

    Article  PubMed  Google Scholar 

  3. Ferlan G, Lospalluti M, Capone G, De Pasquale C. Mesenteric ischemia in a patient with an acute aortic dissection type A. One-step repair of the aortic and visceral lesions. Role of laparoscopy for timely diagnosis and treatment. Interact CardioVasc Thorac Surg. 2011;12(5):835–6.

    Article  PubMed  Google Scholar 

  4. Meriggi F, Alloni A, Gramigna P, Tramelli P, Vigano M. Acute aortic dissection with intestinal ischemia: what to do first. Ann Thorac Cardiovasc Surg. 2011;17(6):631–3.

    Article  PubMed  Google Scholar 

  5. Shiiya N, Matsuzaki K, Kunihara T, Murashita T, Matsui Y. Management of vital organ malperfusion in acute aortic dissection: proposal of a mechanism-specific approach. Gen Thorac Cardiovasc Surg. 2007;55(3):85–90.

    Article  PubMed  Google Scholar 

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Conflict of interest

The authors do not have any conflict of interest, financial or otherwise to declare.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Nagoya Daini Red Cross Hospital, 2-9, Myoken-cho, Showa-ku, Nagoya, Aichi, 466-8650, Japan

    Wataru Kato, Takashi Fujita, Kenichiro Uchida, Hisaaki Munakata, Makoto Hibino, Kei Fujii, Keisuke Tanaka, Yoshimasa Sakai & Kazuyoshi Tajima

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  1. Wataru Kato
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  2. Takashi Fujita
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  3. Kenichiro Uchida
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  4. Hisaaki Munakata
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  5. Makoto Hibino
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  6. Kei Fujii
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  7. Keisuke Tanaka
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  8. Yoshimasa Sakai
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  9. Kazuyoshi Tajima
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Corresponding author

Correspondence to Wataru Kato.

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Kato, W., Fujita, T., Uchida, K. et al. Superior mesenteric artery plasty for type A acute aortic dissection with visceral ischemia. Gen Thorac Cardiovasc Surg 64, 422–424 (2016). https://doi.org/10.1007/s11748-014-0497-4

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  • DOI: https://doi.org/10.1007/s11748-014-0497-4

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