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Aortic dissection after superior mesenteric artery percutaneous stenting. Case report.
A M Socrate1, P Locati, G Marchetti
1Vascular Surgery Department, Busto Arsizio Hospital, Varese.
Minerva Cardioangiologica
|June 6, 2000
Summary
Aortic dissection occurred after superior mesenteric artery stenting in a 44-year-old patient. This rare case highlights potential iatrogenic causes following endovascular procedures.
Area of Science:
- Cardiovascular Medicine
- Interventional Radiology
Background:
- Aortic dissection is a serious condition involving a tear in the aorta's inner layer.
- Superior mesenteric artery stenting is an endovascular procedure used to treat mesenteric artery stenosis.
Observation:
- A 44-year-old patient presented with back pain and fever.
- The patient was diagnosed with aortic dissection extending from the aortic arch to the aortic carrefour.
- Diagnosis was confirmed using Duplex scan and CT scan examinations.
Findings:
- The aortic dissection was noted to occur after the patient underwent superior mesenteric artery percutaneous stenting.
- Two potential causes were considered: a congenital malformation or an iatrogenic injury from the procedure.
Implications:
- This case suggests a potential, albeit rare, complication of superior mesenteric artery stenting.
- Further investigation into iatrogenic causes of aortic dissection following endovascular interventions is warranted.
- Highlights the importance of considering procedural complications in the differential diagnosis of aortic dissection.