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CC BY-NC-ND 4.0 · Aorta (Stamford) 2024; 12(02): 044-046
DOI: 10.1055/s-0044-1795146
Case Report

Chronic Mesenteric Ischemia after a Type A Aortic Dissection Repair

Morgan Hardman
1   Mayo Clinic Alix School of Medicine, Mayo Clinic, Jacksonville, Florida
,
Houssam Farres 
2   Division of Vascular and Endovascular Surgery, Mayo Clinic, Jacksonville, Florida
,
Santh Prakash Lanka 
2   Division of Vascular and Endovascular Surgery, Mayo Clinic, Jacksonville, Florida
,
Young Erben 
2   Division of Vascular and Endovascular Surgery, Mayo Clinic, Jacksonville, Florida
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Abstract

A 57-year-old male patient who underwent an open hemiarch repair with a femoral–femoral crossover bypass and right lower extremity fasciotomies for an acute Type A aortic dissection with limb ischemia presented 5 weeks' postrepair with a 20-pound weight loss due to intermittent hemodynamic collapse of the dissection flap over the origin of the superior mesenteric artery. This case highlights the challenges a dissection flap can cause after an urgent Type A aortic dissection repair.

Keywords

Type A dissection - mesenteric ischemia - limb ischemia


Publication History

Received: 08 May 2023

Accepted: 01 September 2024

Article published online:
26 November 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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