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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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
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author Mochida, Yuki
Morinaga, Hiroyuki
Shimizu, Yusuke
Sakamoto, Takaaki
Miyakuni, Yasuhiko
Kaita, Yasuhiko
Tarui, Takehiko
Yamaguchi, Yoshihiro
author_facet Mochida, Yuki
Morinaga, Hiroyuki
Shimizu, Yusuke
Sakamoto, Takaaki
Miyakuni, Yasuhiko
Kaita, Yasuhiko
Tarui, Takehiko
Yamaguchi, Yoshihiro
author_sort Mochida, Yuki
collection PubMed
description 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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spelling pubmed-67667672019-10-21 Critical Malperfusion Caused by Central Aortic Repair for Acute Aortic Dissection: A Case Report Mochida, Yuki Morinaga, Hiroyuki Shimizu, Yusuke Sakamoto, Takaaki Miyakuni, Yasuhiko Kaita, Yasuhiko Tarui, Takehiko Yamaguchi, Yoshihiro Ann Vasc Dis 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 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. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2019-09-25 /pmc/articles/PMC6766767/ /pubmed/31636757 http://dx.doi.org/10.3400/avd.cr.19-00046 Text en Copyright © 2019 Annals of Vascular Diseases http://creativecommons.org/licenses/by-nc-sa/4.0/ ©2019 The Editorial Committee of Annals of Vascular Diseases. This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original.
spellingShingle Case Report
Mochida, Yuki
Morinaga, Hiroyuki
Shimizu, Yusuke
Sakamoto, Takaaki
Miyakuni, Yasuhiko
Kaita, Yasuhiko
Tarui, Takehiko
Yamaguchi, Yoshihiro
Critical Malperfusion Caused by Central Aortic Repair for Acute Aortic Dissection: A Case Report
title Critical Malperfusion Caused by Central Aortic Repair for Acute Aortic Dissection: A Case Report
title_full Critical Malperfusion Caused by Central Aortic Repair for Acute Aortic Dissection: A Case Report
title_fullStr Critical Malperfusion Caused by Central Aortic Repair for Acute Aortic Dissection: A Case Report
title_full_unstemmed Critical Malperfusion Caused by Central Aortic Repair for Acute Aortic Dissection: A Case Report
title_short Critical Malperfusion Caused by Central Aortic Repair for Acute Aortic Dissection: A Case Report
title_sort critical malperfusion caused by central aortic repair for acute aortic dissection: a case report
topic Case Report
url 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
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