A simple but useful method of screening for mesenteric ischemia secondary to acute aortic dissection

Surgery
Yoshihiko KurimotoTomio Abe

Abstract

In spite of recent improvements in treatment for acute aortic dissection, mesenteric ischemia secondary to aortic dissection is still challenging. We propose a simple screening method to detect mesenteric ischemia secondary to acute aortic dissection. From 1991 to 2002, 245 patients with acute aortic dissection were admitted to our hospital. Nine (3.7%) of those were complicated with mesenteric ischemia. The clinical records of those 9 patients were retrospectively analyzed. The ratios of the diameter of the superior mesenteric vein (SMV) to that of the superior mesenteric artery (SMA) were calculated in patients with mesenteric ischemia (group M) and in patients without mesenteric ischemia (group C). Blood test data, including results of arterial blood gas analysis, in the 2 groups were also compared. The SMV/SMA ratios in groups M and C were 1.16 +/- 0.33 and 1.78 +/- 0.29, respectively (P=.003). A cutoff value of the SMV/SMA ratio was 1.5 (sensitivity, 88.9%; specificity, 88.9%) with an odds ratio of 64.0. Although there were differences between the 2 groups in glutamate oxaloacetate transaminase, lactate dehydrogenase, creatine phosphate kinase, pH, and lactate values, the measurement of lactate was especially useful (P=.00...Continue Reading

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Citations

Apr 17, 2008·Pediatric Surgery International·Francesco MoriniPietro Bagolan
Sep 7, 2014·The Annals of Thoracic Surgery·Koyu TanakaHidenori Yoshitaka
Sep 30, 2008·Surgery Today·Yoshihiko KurimotoYasufumi Asai
Aug 15, 2006·Journal of the Chinese Medical Association : JCMA·Chii-Shyan LayYeu-Sheng Tyan
May 31, 2015·Surgery Today·Kazumasa Orihashi
Jan 17, 2013·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Yon-Cheong WongChen-Chih Huang
Aug 6, 2016·Journal of Cardiothoracic and Vascular Anesthesia·Jeremy M BennettSusan S Eagle
Jan 1, 2012·Annals of Vascular Diseases·Kazumasa Orihashi
Dec 14, 2019·Surgical Endoscopy·Ryo Miyazawa, Minobu Kamo
Jan 2, 2021·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Sergio MoralArturo Evangelista

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