Sole Obstruction of the Inferior Mesenteric Artery With Acute Aortic Dissection Causing Critical Mesenteric Ischemia

Yuta Tsujisaka; Takeshi Kitai; Shuichiro Kaji; Makoto Kinoshita; Ken Nakamura; Tadaaki Koyama; Yutaka Furukawa

doi:10.1016/j.jaccas.2020.07.030

Sole Obstruction of the Inferior Mesenteric Artery With Acute Aortic Dissection Causing Critical Mesenteric Ischemia

JACC Case Rep. 2020 Sep 23;2(15):2465-2469. doi: 10.1016/j.jaccas.2020.07.030. eCollection 2020 Dec.

Authors

Yuta Tsujisaka¹, Takeshi Kitai¹, Shuichiro Kaji¹, Makoto Kinoshita¹, Ken Nakamura², Tadaaki Koyama², Yutaka Furukawa¹

Affiliations

¹ Department of Cardiovascular Medicine, Kobe City Medical Center General Hospital, Kobe, Japan.
² Department of Cardiovascular Surgery, Kobe City Medical Center General Hospital, Kobe, Japan.

Abstract

Inferior mesenteric artery obstruction rarely causes critical mesenteric ischemia, because of the good collateral blood supply. We report a rare case of critical mesenteric ischemia due to sole inferior mesenteric artery obstruction accompanied by acute aortic dissection. Early diagnosis and treatment of mesenteric ischemia are important. (Level of Difficulty: Advanced.).

Keywords: AD, aortic dissection; CT, computed tomography; FL, false lumen; IMA, inferior mesenteric artery; ROSC, return of spontaneous circulation; SMA, superior mesenteric artery; TL, true lumen; acute aortic dissection; inferior mesenteric artery; mesenteric ischemia.

Publication types

Case Reports