PubMed · 15086288
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Linjun Xie, Henry J Shih, Lester Freedman. 2004. Aortic dissection.. https://doi.org/10.5858/2004-128-599-ad
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Dissection of the common carotid artery is a rare but important complication of Marfan's syndrome. The following case describes a patient with formation of an intimal flap of the common carotid artery who had suffered from an aortic dissection years before.
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A 55-year-old man underwent percutaneous mesenteric and left renal stenting for malperfusion in acute type B aortic dissection. Laparoscopic exploration was performed immediately after percutaneous revascularization to ensure the integrity of the abdominal viscera. Because the diagnosis of mesenteric infarction may sometimes be difficult and its delay can be fatal, we advocate laparoscopic exploration as a mini-invasive method after percutaneous management of visceral malperfusion, if the integrity of the abdominal viscera needs to be verified.