Intestinal ischemia complicating ascending aortic dissection: first things first.
Typically acute dissections of the ascending aorta are considered operative emergencies with delays in treatment potentially resulting in considerable morbidity and mortality. However, occasionally associated unstable or poorly defined problems (such as neurologic impairment or end-organ ischemia) may warrant further investigation and possible treatment to facilitate safe aortic repair. We present a case of acute ascending aortic dissection associated with an intra-abdominal vascular and enteric catastrophe that was successfully managed prior to aortic repair.
Firstenberg
Michael S
MS
Department of Cardiothoracic Surgery, The Ohio State University, Columbus, Ohio 43210, USA. michael.firstenberg@osumc.edu
Sai-Sudhakar
Chittoor B
CB
Sirak
John H
JH
Crestanello
Juan A
JA
Sun
Benjamin
B
D000328:Adult; D000784:Aortic Dissection / Q000601:surgery*; D000792:Angiography; D001013:Aorta, Thoracic / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D006396:Hematemesis; D006801:Humans; D007422:Intestines / Q000098:blood supply* / Q000000981:diagnostic imaging; D007511:Ischemia / Q000150:complications*; D008297:Male; D016896:Treatment Outcome