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>Successfully superior mesenteric artery stenting in operated type Aaortic dissection complicated with delayed mesentericmalperfusion
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Successfully superior mesenteric artery stenting in operated type Aaortic dissection complicated with delayed mesentericmalperfusion
Here, we describe a case of a 61-year-old male patient with acute type A aorticdissection involving the ascending aorta, aortic arch, descending aorta, and theabdominal aorta down to the iliac bifurcation with evidence of left common iliacartery occlusion. Computed tomography angiography revealed progressivedissection into the superior mesenteric artery and left renal artery with noclinical signs of mesenteric ischemia. Emergent ascending aortic reconstructionof the dissected aorta relieves the leg ischemia. On a postoperative day 9, theevolution was complicated by massive right hemothorax. Although the patient washemodynamically stable after obtaining hemostasis, the patient developedparalytic ileus with a high elevated lactate level. Visceral malperfusion wasnot detected by exploratory laparotomy. Emergency abdominal aortic angiographyrevealed superior mesenteric artery intermittent occlusion, successfully treatedby stenting implantation.
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