Published in:
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.