title: Symptomatic Delayed Aortic Dissection After Superior Mesenteric Artery Stenting for Chronic Mesenteric Ischemia.
abstract: Chronic mesenteric ischemia most commonly occurs secondary to atherosclerotic disease of the mesenteric arteries. Patients are often older than 60 years and can present with postprandial abdominal pain, nausea, diarrhea, and significant weight loss. Symptomatic disease has traditionally been managed with open surgical repair, but endovascular strategies, such as percutaneous angioplasty and stenting, have emerged as the mainstays of therapy. Complications from stenting include plaque embolization, thrombosis, perforation, or dissection of the mesenteric arteries. We present a patient with symptomatic acute aortic dissection 18 months after celiac and superior mesenteric artery stent placement for chronic mesenteric ischemia.
authors.affiliation: 1 Department of Surgery, SUNY Upstate Medical University, Syracuse, NY, USA.|2 Division of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
authors.forename: Cindy
authors.identifier: http://orcid.org/0000-0002-8505-2680
authors.initials: C
authors.lastname: Huynh
authors.affiliation: 3 OhioHealth Comprehensive Heart and Vascular Center, OhioHealth Mansfield Hospital, Mansfield, OH, USA.
authors.forename: Robert
authors.initials: R
authors.lastname: Schwartz
mesh_terms: D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology*; D000800:Angioplasty, Balloon / Q000009:adverse effects* / Q000295:instrumentation*; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology*; D001027:Aortography / Q000379:methods; D002445:Celiac Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D002908:Chronic Disease; D000072226:Computed Tomography Angiography; D005260:Female; D006801:Humans; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging / Q000503:physiopathology; D065666:Mesenteric Ischemia / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D008641:Mesenteric Vascular Occlusion / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D013152:Splanchnic Circulation; D015607:Stents; D013997:Time Factors; D016896:Treatment Outcome
keywords: aortic dissection; chronic mesenteric ischemia; endovascular complications; endovascular stent graft