Critical Malperfusion Caused by Central Aortic Repair for Acute Aortic Dissection: A Case Report

We encountered a case of hepatic malperfusion resulting from central repair for Stanford type A acute aortic dissection (AAD). A 78-year-old woman had AAD, for which ascending aortic repair was performed. Hepatic malperfusion developed 3 days postoperatively. The superior mesenteric and celiac arter...

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Detalles Bibliográficos
Autores principales: Mochida, Yuki, Morinaga, Hiroyuki, Shimizu, Yusuke, Sakamoto, Takaaki, Miyakuni, Yasuhiko, Kaita, Yasuhiko, Tarui, Takehiko, Yamaguchi, Yoshihiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6766767/
https://www.ncbi.nlm.nih.gov/pubmed/31636757
http://dx.doi.org/10.3400/avd.cr.19-00046
Descripción
Sumario:We encountered a case of hepatic malperfusion resulting from central repair for Stanford type A acute aortic dissection (AAD). A 78-year-old woman had AAD, for which ascending aortic repair was performed. Hepatic malperfusion developed 3 days postoperatively. The superior mesenteric and celiac arteries were occluded by a false lumen (FL). We believed that the surgery caused a change in the blood flow in FL. Percutaneous transluminal angioplasty and stenting of the superior mesenteric artery were performed, and the patient’s condition improved. Thus, intervention for the branched artery should be performed prior to central repair, depending on the type of malperfusion.

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