False lumen thrombectomy of the superior mesenteric artery followed by iliomesenteric bypass after Stanford type B aortic dissection

Matteus A.M. Linsen, Jurgen A. Avontuur, A. W.Floris Vos, Jan A. Rauwerda, Willem Wisselink*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

A 55-year-old man with an acute Stanford type B aortic dissection presented with clinical signs of mesenteric ischemia. Computed tomography (CT) revealed a thrombosed false lumen in the superior mesenteric artery. At laparotomy, the dissection was found to be extending into the jejunal branches and medial colic artery. Thrombus was removed from the false lumen, and perfusion was restored with an iliomesenteric bypass, with the dissected layers tacked together in the suture line. A postoperative CT scan showed a stable diameter of the thoracoabdominal aorta and a patent iliomesenteric bypass.

Original languageEnglish
Pages (from-to)331-334
Number of pages4
JournalVascular
Volume12
Issue number5
DOIs
Publication statusPublished - 2004

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