When Is Laparotomy for Mesenteric Ischemia After Aortic Dissection Futile?

ABSTRACT:

Background

Tissue necrosis from persistent mesenteric ischemia after aortic dissection may progress to sepsis and death without emergency laparotomy. However, the signs of mesenteric necrosis are common in patients experiencing nonsurvivable multisystem failure after aortic catastrophe. This study examined when and whether laparotomy offers a chance for meaningful survival in these patients.

Methods

A total of 145 patients treated for acute type A or type B aortic dissection with mesenteric ischemia were identified from a single institution from 2006 to 2022. Of those patients, 29 underwent laparotomy, all for compelling clinical indications. Detailed clinical characteristics were studied with respect to short- and long-term outcomes in these patients.

Results

Among t

SUBMITTER: Goel NJ 

PROVIDER: S-EPMC11588526 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature