Kayo Sugiyama*, Hirotaka Watanuki, Masaho Okada, Yasuhiro Futamura, Yoko Kato, Yuki Matsushita and Katsuhiko Matsuyama
Department of Cardiac Surgery, Aichi Medical University Hospital, JapanFulltext PDF
Hepatic ischemia is a rare complication of acute aortic dissection. There are few reports about liver and gallbladder infarction occurring from aortic dissection; their main cause was hypotension due to cardiac tamponade. Here we report a case of type B aortic dissection with isolated liver and gallbladder infarction from visceral artery malperfusion of a splenomesenteric trunk. Interventional radiology effectively detected the cause of ischemia and enabled treatment of the visceral artery malperfusion.
Acute aortic dissection; Visceral artery malperfusion; Liver infarction; Splenomesenteric trunk; Interventional radiology
Sugiyama K, Watanuki H, Okada M, Futamura Y, Kato Y, Matsushita Y, et al. Liver and Gallbladder Infarction as a Complication of Acute Aortic Dissection in the Splenomesenteric Trunk. Clin Surg. 2019; 4: 2654.