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Case Reports

Delayed Repair of Acute Type A Aortic Dissection in a Patient with Gastrointestinal Bleeding and Pulse Deficit

^a Department of Cardiothoracic Surgery, Mount Sinai Medical Center, New York, New York
^b Division of Vascular Surgery, Mount Sinai Medical Center, New York, New York
^c Division of Interventional Radiology, Mount Sinai Medical Center, New York, New York

Accepted for publication June 27, 2007.

^_* Address correspondence to Dr Di Luozzo, Department of Cardiothoracic Surgery, Mount Sinai Medical Center, 1190 Fifth Ave, Box 1028, New York, NY 10028 (Email: gabriele.diluozzo{at}mountsinai.org).

Acute type A aortic dissections are considered surgical emergencies because these patients are at risk for life-threatening complications. Patients who present with significant neurologic and other end-organ malperfusion may benefit from a more conservative approach. We present a patient with type A aortic dissection and concomitant mesenteric and limb ischemia.