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Acute Ischemic Pancreatitis Secondary to Aortic Dissection
Rong Wang1, Jun-Ming Zhu2, Rui-Dong Qi2
1Department of Anesthesiology, Beijing Institute of Heart, Lung and Blood Vessel Diseases and Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Annals of Vascular Surgery
|May 20, 2018
Summary
Acute ischemic pancreatitis is a rare complication of aortic dissection. This study reviewed 6 cases, finding that prompt treatment improves survival rates for this unusual condition.
Area of Science:
- Cardiology
- Gastroenterology
- Vascular Surgery
Background:
- Acute ischemic pancreatitis is an uncommon complication of aortic dissection.
- The underlying mechanism remains unclear.
- This study retrospectively analyzed 6 cases of aortic dissection with pancreatitis.
Purpose of the Study:
- To investigate the outcomes of patients with acute aortic dissection and concomitant acute ischemic pancreatitis.
- To highlight the rarity and diagnostic considerations of this combined condition.
Main Methods:
- Retrospective review of 6 patients (2 male, 4 female; mean age 58 years) admitted between 2009-2017.
- Cases included 3 Type A and 3 Type B aortic dissections.
- Patient history included hypertension (5/6) and diabetes mellitus (1/6).
Main Results:
- Five out of six patients survived the acute phase following aggressive medical and surgical management (4 surgery, 1 thoracic endovascular aortic repair).
- No severe postoperative complications or deaths occurred in the follow-up period for survivors.
- One patient with Type B dissection refused treatment and died from multiple organ failure.
Conclusions:
- Acute ischemic pancreatitis is an infrequent but significant complication of aortic dissection.
- Clinicians should consider this diagnosis during the evaluation of aortic dissection.
- Optimal management strategies for aortic dissection associated with acute pancreatitis require further clarification.
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