Open surgical repair of traumatic abdominal aortic dissection with superior mesenteric arterial occlusion

Traumatic abdominal aortic injury with visceral arterial involvement is rare and associated with high mortality, even with prompt intervention. We present a case of mesenteric ischemia caused by traumatic dissection of the infrarenal abdominal aorta and occlusion of the superior mesenteric artery. The patient underwent open surgical repair with infrarenal aortic replacement and an iliac-mesenteric bypass to restore visceral perfusion. Despite established organ ischemia, classical surgical techniques proved effective. This case highlights the importance of timely diagnosis and aggressive vascular reconstruction in salvaging patients with complex aortic trauma and visceral hypoperfusion. Successful outcomes remain achievable with appropriate surgical intervention.