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Ann Thorac Surg 2007;83:293-294
© 2007 The Society of Thoracic Surgeons

Case Reports

Temporary Perfusion for Mesenteric Ischemia With Acute Type A Aortic Dissection

Yoshihiro Okada, MDa,*, Mitsunori Okimoto, MDa,b, Masayoshi Katsumata, MDb, Shigeyasu Takeuchi, MDb

a Department of Translational Research for Healthcare and Clinical Science, Graduate School of Medicine, the University of Tokyo
b Department of Cardiovascular Surgery, Chiba Emergency Medical Center, Chiba, Japan

Accepted for publication April 6, 2006.

* Address correspondence to Dr Okada, 7-3-1, Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan (Email: okd-tky{at}umin.net).

We report advantages of a temporary mesenteric perfusion method for bowel ischemia with acute type A aortic dissection. The perfusion catheter was inserted from the branch of the superior mesenteric artery. This technique was found to be useful in certain cases that require prompt visceral organ perfusion and proximal aortic repair, which enabled a simultaneous treatment for both lesions and a blood pressure evaluation.






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