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Updated: Jul 13, 2026

Multimodality Diagnosis of Mesenteric Ischemia

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

Intestinal ischemia complicating ascending aortic dissection: first things first.

Michael S Firstenberg¹, Chittoor B Sai-Sudhakar, John H Sirak

¹Department of Cardiothoracic Surgery, The Ohio State University, Columbus, Ohio 43210, USA. michael.firstenberg@osumc.edu

The Annals of Thoracic Surgery

|July 24, 2007

Summary

Acute ascending aortic dissection is usually an emergency. This case shows successful management of a complex abdominal catastrophe before aortic repair, improving patient outcomes.

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Last Updated: Jul 13, 2026

Multimodality Diagnosis of Mesenteric Ischemia

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

Area of Science:

Cardiovascular Surgery
Vascular Surgery
Gastrointestinal Surgery

Background:

Acute ascending aortic dissection is a life-threatening condition typically requiring immediate surgical intervention.
Delays in treatment can lead to significant morbidity and mortality.
Complex associated conditions may necessitate staged management for optimal outcomes.

Observation:

A patient presented with acute ascending aortic dissection.
The dissection was complicated by an intra-abdominal vascular and enteric catastrophe.
The patient's condition required careful evaluation and staged treatment.

Findings:

The intra-abdominal vascular and enteric catastrophe was successfully managed first.
This pre-treatment facilitated a safer subsequent repair of the ascending aortic dissection.
The staged approach led to a favorable patient outcome.

Implications:

Complex aortic dissections with multi-system involvement may benefit from a staged management strategy.
Prioritizing and treating critical secondary catastrophes can improve the safety and success of aortic repair.
This case highlights the importance of individualized treatment planning in complex cardiovascular emergencies.