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John H. Sirak
Juan A. Crestanello
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Ann Thorac Surg 2007;84:e8-e9
© 2007 The Society of Thoracic Surgeons

Case Reports

Intestinal Ischemia Complicating Ascending Aortic Dissection: First Things First

Michael S. Firstenberg, MD*, Chittoor B. Sai-Sudhakar, MBBS, John H. Sirak, MD, Juan A. Crestanello, MD, Benjamin Sun, MD

Department of Cardiothoracic Surgery, The Ohio State University, Columbus, Ohio

Accepted for publication April 13, 2007.

* Address correspondence to Dr Firstenberg, Department of Cardiothoracic Surgery, North Doan Hall, 8th Floor, The Ohio State University, Columbus, OH 43210 (Email: michael.firstenberg{at}osumc.edu).

Typically acute dissections of the ascending aorta are considered operative emergencies with delays in treatment potentially resulting in considerable morbidity and mortality. However, occasionally associated unstable or poorly defined problems (such as neurologic impairment or end-organ ischemia) may warrant further investigation and possible treatment to facilitate safe aortic repair. We present a case of acute ascending aortic dissection associated with an intra-abdominal vascular and enteric catastrophe that was successfully managed prior to aortic repair.






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