Hybrid Treatment for Type A Acute Aortic Dissection With Multiorgan Malperfusion Koyu Tanaka, MD, Genta Chikazawa, MD, Taichi Sakaguchi, MD, Toshinori.

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Hybrid Treatment for Type A Acute Aortic Dissection With Multiorgan Malperfusion Koyu Tanaka, MD, Genta Chikazawa, MD, Taichi Sakaguchi, MD, Toshinori Totsugawa, MD, Kentaro Tamura, MD, Hidenori Yoshitaka, MD The Annals of Thoracic Surgery Volume 98, Issue 3, Pages 1118-1120 (September 2014) DOI: 10.1016/j.athoracsur.2014.01.079 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A, B) Contrast-enhanced computed tomography scan revealed Stanford type A aortic dissection extending from the ascending aorta to the iliac bifurcation. The (C) celiac artery, (D) superior mesenteric artery, and (E) left renal artery were compressed by the thrombosed false lumen. (F) The ratio of the maximum diameter of the superior mesenteric vein (white arrowhead) to that of the superior mesenteric artery (black arrowhead) was less than 1.0. The Annals of Thoracic Surgery 2014 98, 1118-1120DOI: (10.1016/j.athoracsur.2014.01.079) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Angiography revealed poor blood flow of the superior mesenteric celiac artery (white arrowhead) and the peripheral colic arteries (black arrowheads). The Annals of Thoracic Surgery 2014 98, 1118-1120DOI: (10.1016/j.athoracsur.2014.01.079) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions