Delayed repair of acute type A aortic dissection in a patient with gastrointestinal bleeding and pulse deficit.
Acute type A aortic dissections are considered surgical emergencies because these patients are at risk for life-threatening complications. Patients who present with significant neurologic and other end-organ malperfusion may benefit from a more conservative approach. We present a patient with type A aortic dissection and concomitant mesenteric and limb ischemia.
Di Luozzo
Gabriele
G
Department of Cardiothoracic Surgery, Mount Sinai Medical Center, New York, New York 10028, USA. gabriele.diluozzo@mountsinai.org
Tannous
Henry J
HJ
Ellozy
Sharif H
SH
Nowakowski
Scott
S
Plestis
Konstadinos A
KA
Adams
David H
DH
Griepp
Randall B
RB
D000208:Acute Disease; D000328:Adult; D000784:Aortic Dissection / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D001014:Aortic Aneurysm / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D005121:Extremities / Q000098:blood supply; D006471:Gastrointestinal Hemorrhage / Q000150:complications*; D006801:Humans; D007511:Ischemia / Q000150:complications*; D008297:Male; D008643:Mesentery / Q000098:blood supply; D011674:Pulse