Abstract
Successful visceral revascularization after acute type A aortic dissection: How to predict visceral ischemia
Highlights
Acute aortic dissection with visceral ischemia is potentially a fatal complication after acute aortic dissection
We describe a successful case of visceral revascularization and avoidance of abdominal organ necrosis after the onset of acute Stanford type A aortic dissection
Repeat Enhanced computed tomography (ECT) demonstrated that the severe constriction of the true lumen of the celiac artery resulting from compression by the expanded false lumen presented earlier remained unchanged (Figure 2)
Summary
Acute aortic dissection with visceral ischemia is potentially a fatal complication after acute aortic dissection. We describe a successful case of visceral revascularization and avoidance of abdominal organ necrosis after the onset of acute Stanford type A aortic dissection. Enhanced computed tomography (ECT) demonstrated a type A aortic dissection entry at the ascending aorta. We strongly suspected visceral ischemia and paraplegia due to interruption of innate vessel perfusion.
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