Percutaneous mesenteric stenting followed by laparoscopic exploration for visceral malperfusion in acute type B aortic dissection

Annals of Vascular Surgery
Norihiko ShiiyaTakashi Kunihara

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.

References

Jun 5, 2001·Journal of Vascular Surgery·S R LauterbachA C Moncure
Feb 13, 2003·Journal of Vascular and Interventional Radiology : JVIR·Suresh VedanthamGregorio A Sicard
Oct 9, 2004·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·A Ziya AnadolErcüment H Tekin

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Citations

Apr 18, 2012·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Y TshombaR Chiesa
Apr 24, 2007·General Thoracic and Cardiovascular Surgery·Norihiko ShiiyaYoshiro Matsui
Jan 1, 2012·Annals of Vascular Diseases·Kazumasa Orihashi

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