Acute Type B Aortic Dissection Complicated with Malperfusion of Celiac Artery Alone;Report of a Case
Koyama, M.; Ito, K.; Ueyama, K.
Kyobu Geka. Japanese Journal of Thoracic Surgery 70(12): 1025-1027
2017
ISSN/ISBN: 0021-5252 PMID: 29104203 Document Number: 692306
Malperfusion of the superior mesenteric artery(SMA) in acute type B aortic dissection is potentially fatal. Revascularization should therefore be aggressively considered in a proactive way. However, this is not the case with the celiac artery malperfusion. We present a case of malperfusion of isolated malperfusion of the celiac artery due to acute type B aortic dissection. Although the collateral blood flow from the SMA via the pancreatic arcade was identified, ischemic gastric ulcer and pancreatitis developed later on. At present, there is a general agreement that catheter intervention is the 1st treatment of choice for complicated acute type B aortic dissection. In the present case, however, even a guide wire did not pass through the orifice of the celiac artery and revascularization was not successful.