Sato Kenichiro, Itagaki Ryo, Arao Kenshiro, Makita Kouzou
Department of Cardiovascular Surgery, Nerima Hikarigaoka Hospital, Tokyo, Japan.
Department of Cardiology, Nerima Hikarigaoka Hospital, Tokyo, Japan.
Ann Vasc Dis. 2016;9(3):248-251. doi: 10.3400/avd.cr.16-00027. Epub 2016 Aug 10.
A 44-year-old man was transported to our hospital with chief complaints of back pain and paralysis of the leg. Contrast-enhanced computed tomography (CT) imaging revealed an acute Stanford B aortic dissection (AD), which was complicated by acute arterial occlusion of the left external iliac artery. The patient was treated by femorofemoral crossover bypass. Thereafter, abdominal pain was noted, and the patient was diagnosed with intestinal ischemia due to occlusion of the celiac artery and superior mesenteric artery (SMA). A stent was emergently placed into SMA. Subsequently, the patient demonstrated good postoperative progress and was discharged on hospital day 27.
一名44岁男性因背痛和腿部麻痹为主诉被送至我院。增强计算机断层扫描(CT)成像显示为急性斯坦福B型主动脉夹层(AD),并伴有左髂外动脉急性动脉闭塞。患者接受了股股交叉搭桥手术治疗。此后,患者出现腹痛,经诊断为因腹腔干动脉和肠系膜上动脉(SMA)闭塞导致的肠缺血。紧急在SMA置入了支架。随后,患者术后恢复良好,于住院第27天出院。