Two Cases of Abdominal Aortic Fenestration and Abdominal Aortic-Superior Mesenteric Artery Bypass for Stanford type B Acute Aortic Dissection with Intestinal Ischemia

• Published in: Japanese Journal of Vascular Surgery Vol. 21; no. 7; pp. 799 - 802
• Main Authors: Kamikubo, Yasuhiro, Sato, Koji, Ito, Masamichi, Takahira, Makoto
• Format: Journal Article
• Language: Japanese
• Published: JAPANESE SOCIETY FOR VASCULAR SURGERY 2012; 特定非営利活動法人 日本血管外科学会
• Subjects: Acute aortic dissection; Aorta-superior mesenteric artery bypass; Aortic fenestration; Intestinal ischemia; Malperfusion; 大動脈開窓術; 大動脈－上腸間膜動脈バイパス術; 急性大動脈解離; 腸管虚血; 臓器灌流異常
• ISSN: 0918-6778; 1881-767X
• DOI: 10.11401/jsvs.21.799

Critical organ perfusion abnormalities (malperfusion) are main causes of acute mortality and complications in acute aortic dissection. Entry closure in most cases of Stanford type A aortic dissection can provide reperfusion, while there is no established method in Stanford type B aortic dissection, thus we are required to perform individualized treatment. We present good results in 2 cases of abdominal aortic fenestration and bypass grafting between the aorta and superior mesenteric artery in type B acute aortic dissection with intestinal ischemia along with a review of the literature.