Multidisciplinary treatment of complicated aortic dissection: Combined endovascular and surgical intervention - A case report

Aortic dissection is the most common catastrophic pathologic process to affect the aorta and its branch vessels. The patient was diagnosed with an acute type III aortic dissection and symptomatic occlusion of the mesenteric, renal, and iliac arteries. The patient was treated with endovascular fenestration and stenting of the iliac and renal arteries followed by open fenestration of the superior mesenteric artery, bowel resection, and cholecystectomy. Duplex ultrasonagraphy demonstrated patency of the mesenteric and iliac vessels and normal size kidneys upon discharge. The combination of traditional surgical and modern endovascular techniques may improve survival of patients with complicated type III aortic dissections.