Why the study?
Malperfusion of the celiac artery alone with acute aortic dissection rarely requires early intervention.
Case Report (n=1)
No
Early percutaneous balloon angioplasty of the celiac artery prior to total arch replacement can be life-saving in type A acute aortic dissection with celiac malperfusion.
May support pre-repair celiac reperfusion in select type A dissections; hypothesis-generating and should not yet change practice.
Malperfusion of the celiac artery alone, with acute aortic dissection, rarely requires early intervention. A 57-year-old woman had thrombosed type A acute aortic dissection with celiac malperfusion, for which total arch replacement was performed after percutaneous balloon angioplasty of the celiac artery. The endovascular treatment minimized extensive hepatic infarction, which saved the patient's life.
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Izubuchi et al. (2023) conducted a case report in Type A acute aortic dissection with celiac malperfusion (n=1). Early endovascular reperfusion of celiac artery was evaluated on Patient survival and organ preservation.
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