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Updated: Aug 14, 2026
05:07
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Symptomatic Delayed Aortic Dissection After Superior Mesenteric Artery Stenting for Chronic Mesenteric Ischemia
Cindy Huynh1,2, Robert Schwartz3
11 Department of Surgery, SUNY Upstate Medical University, Syracuse, NY, USA.
Vascular and Endovascular Surgery
|April 6, 2017
Summary
A rare complication of mesenteric artery stenting for chronic mesenteric ischemia is acute aortic dissection. This case highlights the importance of considering delayed aortic complications after endovascular repair.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Gastroenterology
Background:
- Chronic mesenteric ischemia (CMI) is typically caused by atherosclerosis in mesenteric arteries.
- Management has shifted from open repair to endovascular stenting (angioplasty and stenting).
- Stenting complications include embolization, thrombosis, perforation, and dissection.
Observation:
- A patient with CMI underwent successful celiac and superior mesenteric artery stenting.
- Eighteen months post-procedure, the patient developed symptomatic acute aortic dissection.
Findings:
- The patient's acute aortic dissection occurred significantly after mesenteric artery stent placement.
- This presentation suggests a potential, albeit uncommon, delayed complication of endovascular mesenteric repair.
Implications:
- Clinicians should maintain a high index of suspicion for aortic complications in patients with prior mesenteric stenting.
- Further research may be needed to elucidate the potential link between mesenteric artery stenting and delayed aortic events.
- This case underscores the importance of long-term surveillance for patients undergoing endovascular interventions for CMI.
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