case_images: PMC11176664_01
case_images: Abdominal computed tomography angiography showing a complicated type B aortic dissection of the thoracic and abdominal aorta and a dissection of the superior mesenteric artery with pre-existing atherosclerotic plaques.
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case_images: PMC11176664_01_gr1.jpg
case_images: fig1
case_images: Computed tomography angiography (CTA) imaging demonstrated acute type B aortic dissection (TBAD) of the thoracic and abdominal aorta and a concomitant dissection of the SMA with pre-existing atherosclerotic plaques (Fig. 1 and Supplementary Videos A - C).
case_images: Graphs showing different laboratory parameters according to post-operative day. (A) Plasma I-FABP levels (pg/mL) were measured prospectively following the thoracic endovascular aneurysm repair (TEVAR) procedure, with post-operative blood plasma samples collected and analysed for up to nine days post-TEVAR. Measured laboratory parameters included: (B) C reactive protein, (C) lactate, (D) pH, (E) base excess, and (F) leucocytes. Post-TEVAR measurements are indicated by the black arrows, and grey arrows point to the emergency exploratory laparotomy followed by ileocaecal resection and ileostom. If a measured laboratory parameter falls within the white area (reference range), it is considered within normal limits. The upper and lower reference limits are illustrated in the graphs as the grey area. The mean plasma I-FABP levels in a group of healthy controls, set at 217.8 pg/mL, are portrayed in the highlighted grey area. Reference values for each parameter are: C reactive protein (<10 mg/L), lactate (0.5-1.7 mmol/L), pH (7.35-7.45), base excess (-2.5 - 2.5 mmol/L), and leucocytes (3.5-11.0 109/L). All data were collected prospectively.
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case_images: fig2
case_images: Prospective laboratory measurements were performed for I-FABP plasma levels (Fig. 2) as part of the TACTIC study.
case_images: Abdominal computed tomography angiography of the patient revealed a distended bowel with pneumatosis intestinalis. Focally, the small intestine lacked coloration and showed infiltration of mesenteric fat tissue.
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case_images: PMC11176664_01_gr3.jpg
case_images: fig3
case_images: A CTA scan showed a patent SMA stent and the presence of free intra-abdominal air and fluid on the right side of the abdomen with secondary signs of AMI, such as pneumatosis intestinalis and an indurated ileocaecal mesentery (Fig. 3).