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Eur J Cardiothorac Surg 2005;28:903-905
© 2005 Elsevier Science NL

Case report

Delayed visceral malperfusion in aortic dissection—successful surgical revascularization using a saphenous vein graft

^a Department of Cardiovascular Surgery, University Hospital, CH-3010 Bern, Switzerland
^b Department of Visceral and Transplantation Surgery, University Hospital, CH-3010 Bern, Switzerland

Received 27 June 2005; received in revised form 27 June 2005; accepted 25 August 2005.

^_* Corresponding author. Tel.: +41 31 632 23 75; fax: +41 31 632 44 43. (Email: thierry.carrel{at}insel.ch).

Obstruction of the thoracoabdominal aorta and/or its branches with subsequent organ ischemia is a frequent complication of aortic dissection. Surgical and percutaneous fenestrations have been used and endovascular stenting has emerged as an additional less invasive approach. In some cases, surgical revascularization may be the most successful procedure. We report two patients who underwent surgical revascularization of the celiac trunk and superior mesenteric artery for delayed abdominal malperfusion due to aortic dissection.

Key Words: Aortic dissection • Intestinal malperfusion

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