We present a case of acute isolated superior mesenteric artery dissection (ISMAD) with symptomatic bowel malperfusion requiring surgical intervention. We recommend clinicians and surgeons maintain a high clinical suspicion for mesenteric ischemia in patients presenting with ISMAD, and describe a hybrid open surgical/endovascular approach that can safely be utilized in patients requiring intervention.
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Dyrud et al. (2024) studied this question.
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