Slovenská chirurgia 1/2012

Type B aortic dissection as a cause of superior mesenteric artery thrombosis – a case report

Mesenteric ischemia or infarction is one of the most life-threatening complications of acute Stanford type B aortic dissection. In this case we present a case of a patient that developed superior mesenteric artery trombotisation due to aortic dissection Stanford type B. The patient was for signs of developing vascular ileus urgently operated with the findings of ischemic changes of ileum and right colon. This finding was solved by removing the affected sections of the ileum and colon and by fenestration of the superior mesenteric artery with thrombectomy, after which there was a restoration of vitality left loops oj jejunum. Presented case demonstrates the importance of the correct diagnosis and surgical treatments in a timely manner indicated in cases of the visceral malperfusion syndrome, which is an indication for emergency surgical treatment. When peritoneal cavity is contaminated, aortic fenestration by trombectomy in combination with resection of the affected section of the intestine appears to be the correct treatment modality.

Keywords: aortic dissection, mesenterial thrombosis, fenestration, thrombectomy.