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| Fig. 1 |
Strategy for Mesenteric Ischemia |
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| Table 1 |
Patient characteristics in type A dissection |
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| Table 2 |
Laboratory findings of type A dissection |
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| Table 3 |
Angiographic findings of type A dissection |
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| Fig. 2 |
Mesenteric ischemia caused by dissection extended to SMA
Abdominal computed tomographic scan and angiography shows patent true lumen of
SMA contrary to the extension of dissection into SMA (arrows) on POD 1. However
intestinal necrosis occurred on POD 4. Abdominal angiography shows occlusion of
true lumen of SMA. |
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| Table 4 |
Patient characteristics in type B dissection |
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| Fig. 3 |
SMA bypass
Left common iliac artery to SMA bypass grafting utilizing autologous saphenous
vein (arrows) was performed in both cases. Aortic fenestration in case 12 and
axillo-femoral bypass in case 13 preceded SMA bypass. |
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| Table 5 |
Angiographic findings of type A dissection |
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| Fig. 4 |
Potential case of mesenteric ischemia
A 34-year-old woman admitted for type B aortic dissection without evidence of
mesenteric ischemia. Computed tomographic scan shows extension of dissection to
SMA accompanied by thrombosis of false lumen and severe stenosis of true lumen
on day 14. Two months after the onset, follow-up angiography and computed tomographic
scan show neither thrombus nor stenosis of SMA. |
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