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

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...

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Bibliographic Details
Published inKyobu geka. The Japanese journal of thoracic surgery Vol. 76; no. 3; p. 234
Main Authors Morishima, Yuji, Arakaki, Katsuya, Kuniyoshi, Yukio
Format Journal Article
LanguageJapanese
Published Japan 01.03.2023
Subjects
Abdomen
Aged
Aorta
Aorta, Thoracic
Aortic Dissection - complications
Aortic Dissection - diagnostic imaging
Aortic Dissection - surgery
Celiac Artery - diagnostic imaging
Celiac Artery - surgery
Female
Humans
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Summary: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.
ISSN:0021-5252