Successful management in the case of XXXX complicated with acute type a dissection.

@entity1 @entity662 @entity8 @entity697 @entity101 @entity63 @entity439 @entity741 @entity476 @entity5327
We report a case of acute type A dissection with @entity63 due to blood flow insufficiency in the superior mesenteric artery. A 67 year-old @entity1 , with medicated @entity741 and @entity101 , presented to another hospital with @entity662 radiating to the back and epigastrium. Contrast-enhanced computed tomography revealed a type A dissecting @entity439 , that extended from the ascending aorta to the left common iliac artery, with a 50-mm diameter in the ascending aorta. @entity8 arose from the false lumen, and the superior mesenteric artery (SMA) was compressed by the thrombosed false lumen. Symptoms of acute @entity5327 clearly developed. Then, a large amount of tarry stool ( @entity476 ) was discharged. First, an emergency saphenous vein bypass was performed from the common iliac artery to the superior mesenteric artery at the orifice of the ileocolic artery where it was free from dissection. Then total arch replacement was performed using cardiopulmonary bypass. The @entity1 's postoperative course was uneventful, and the abdominal symptoms completely disappeared. This case demonstrates that prompt surgical relief of @entity63 in major organs is important to save lives in the cases of @entity697 with @entity63 complications.
