Key result
Emergent common hepatic artery and right common iliac artery bypass grafting successfully treated visceral ischemia following acute type A aortic dissection.
Case Report (n=1)
Visceral ischemia complicating acute aortic dissection can be successfully managed with prompt revascularization guided by continuous monitoring of serum lactate and base excess levels.
Alerts clinicians to monitor for visceral ischemia after aortic dissection repair; case report leaves open optimal screening protocols.
We report a case of a 64-year-old woman with acute aortic dissection who developed visceral ischemia after ascending aortic graft replacement.After primary surgery, serum lactate and base excess levels were suddenly increased.Enhanced computed tomography showed interrupted celiac artery perfusion.Emergent common hepatic artery and right common iliac artery bypass grafting was performed.The patient recovered without resection of abdominal organs.Visceral ischemia should be kept in mind as a possible complication in patients with acute aortic dissection, and this complication can be expected by monitoring of base excess and lactate serum level.
No takes yet. Share an insight, caveat, or question.
Shiraishi et al. (2017) conducted a case report in Acute type A aortic dissection with visceral ischemia (n=1). Common hepatic artery and right common iliac artery bypass grafting was evaluated on Recovery from visceral ischemia. Emergent common hepatic artery and right common iliac artery bypass grafting successfully treated visceral ischemia following acute type A aortic dissection.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: