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Annals of Vascular Surgery
Published in: Annals of Vascular Surgery 4/2006

01-07-2006 | Case Reports

Percutaneous Mesenteric Stenting followed by Laparoscopic Exploration for Visceral Malperfusion in Acute Type B Aortic Dissection

Authors: Norihiko Shiiya, MD, Akihiro Sawada, MD, Eiichi Tanaka, MD, Tsuyoshi Tachibana, MD, Kenji Matsuzaki, MD, Takashi Kunihara, MD

Published in: Annals of Vascular Surgery | Issue 4/2006

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Abstract

A 55-year-old man underwent percutaneous mesenteric and left renal stenting for malperfusion in acute type B aortic dissection. Laparoscopic exploration was performed immediately after percutaneous revascularization to ensure the integrity of the abdominal viscera. Because the diagnosis of mesenteric infarction may sometimes be difficult and its delay can be fatal, we advocate laparoscopic exploration as a mini-invasive method after percutaneous management of visceral malperfusion, if the integrity of the abdominal viscera needs to be verified.
Literature
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Slonim SM, Nyman U, Semba CP, et al. Aortic dissection: percutaneous management of ischemic complications with endovascular stents and balloon fenestration. J Vasc Surg 1996;23:241–251PubMedCrossRef
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Greenberg R, Khwaja J, Haulon S, et al. Aortic dissections: new perspectives and treatment paradigms. Eur J Vasc Endovasc Surg 2003;26:579–586PubMedCrossRef
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Vedantham S, Picus D, Sanchez LA, et al. Percutaneous management of ischemic complications in patients with type-B aortic dissection. J Vasc Interv Radiol 2003;14:181–194PubMed
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Lauterbach SR, Cambria RP, Brewster DC, et al. Contemporary management of aortic branch compromise resulting from acute aortic dissection. J Vasc Surg 2001;33:1185–1192PubMedCrossRef
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Anadol AZ, Ersoy E, Taneri F, et al. Laparoscopic “second-look” in the management of mesenteric ischemia. Surg Laparosc Endosc Percutan Tech 2004;14:191–193PubMedCrossRef
Metadata
Title
Percutaneous Mesenteric Stenting followed by Laparoscopic Exploration for Visceral Malperfusion in Acute Type B Aortic Dissection
Authors
Norihiko Shiiya, MD
Akihiro Sawada, MD
Eiichi Tanaka, MD
Tsuyoshi Tachibana, MD
Kenji Matsuzaki, MD
Takashi Kunihara, MD
Publication date
01-07-2006
Publisher
Springer-Verlag
Published in
Annals of Vascular Surgery / Issue 4/2006
Print ISSN: 0890-5096
Electronic ISSN: 1615-5947
DOI
https://doi.org/10.1007/s10016-006-9034-y

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