Subscribe to RSS
Download PDF
DOI: 10.1055/s-0044-1795146
Chronic Mesenteric Ischemia after a Type A Aortic Dissection Repair
Authors
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.
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/)
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
References
- 1 Yang B, Norton EL, Rosati CM. et al. Managing patients with acute type A aortic dissection and mesenteric malperfusion syndrome: a 20-year experience. J Thorac Cardiovasc Surg 2019; 158 (03) 675-687.e4
- 2 Geana RC, Pavel P, Nayyerani R. et al. Successfully superior mesenteric artery stenting in operated type A aortic dissection complicated with delayed mesenteric malperfusion. SAGE Open Med Case Rep 2021; 9: 2050313-X211021184
- 3 Morisaki A, Kato Y, Motoki M, Takahashi Y, Nishimura S, Shibata T. Delayed intestinal ischemia after surgery for type A acute aortic dissection. Ann Vasc Dis 2015; 8 (03) 255-257
- 4 Thet MST, Balmforth D, Lopez-Marco A, Ye Oo A. Resternotomy aortic root and arch replacement following previous complex type A aortic dissection requiring endovascular repair for malperfusion. Multimed Man Cardiothorac Surg 2022;
- 5 Charlton-Ouw KM, Sandhu HK, Leake SS. et al. Need for limb revascularization in patients with acute aortic dissection is associated with mesenteric ischemia. Ann Vasc Surg 2016; 36: 112-120
- 6 Di Marco L, Leone A, Murana G. et al. Acute type A aortic dissection: rationale and outcomes of extensive repair of the arch and distal aorta. Int J Cardiol 2018; 267: 145-149
- 7 Sultan I, Wallen TJ, Habertheuer A. et al. Concomitant antegrade stent grafting of the descending thoracic aorta during transverse hemiarch reconstruction for acute DeBakey I aortic dissection repair improves aortic remodeling. J Card Surg 2017; 32 (09) 581-592
- 8 Evangelista A, Pineda V, Guala A. et al. False lumen flow assessment by magnetic resonance imaging and long-term outcomes in uncomplicated aortic dissection. J Am Coll Cardiol 2022; 79 (24) 2415-2427