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- Afksendiyos Kalangos, Gino Gemayel, Dominique Vala, Ebrahim Khabiri, Damiano Mugnai, and Nicolas Murith.
- Division of Cardiovascular Surgery, University Hospital of Geneva, Medical School, University of Geneva, Geneva, Switzerland. Electronic address: Afksendyios.kalangos@hcuge.ch.
- Ann Vasc Surg. 2014 May 1; 28 (4): 1036.e1-3.
AbstractWe report the case of an acute ischemia of the superior mesenteric artery (SMA) after endovascular fenestration of a complicated acute type B aortic dissection. An initial attempt for endovascular revascularization of the SMA failed, and an ascending aorto-superior mesenteric artery bypass was urgently performed to salvage the small bowel. Surgery of patients in these specific settings is more complex because an adequate, more distal inflow vessel is often not present due to the dissected aorta and iliac arteries. This surgical option could be lifesaving and should be part of the vascular surgeon's armamentarium. Copyright © 2014 Elsevier Inc. All rights reserved.
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