Spontaneous dissections of multiple visceral arteries: an extremely rare case

Abstract

Spontaneous dissections of visceral arteries without aortic involvement are very rare. The etiologies of these entities are unclear and their clinical managements remain controversial. We report a case of spontaneous multiple dissections affecting 4 visceral arteries including the superior mesenteric artery, the celiac artery and the bilateral renal arteries. The patient was managed conservatively and endovascularly. The clinical manifestation markedly improved and laboratory tests returned to normal limits within 1 week. The regular follow-up suggested a good clinical and radiological outcome until 84 months.

Endovascular treatment of spontaneous renal artery dissection

“…[16][17][18][19][20] Endovascular stent repair for SRAD was first reported in 2003, 21 and with technical advances in the endovascular technique, more SRAD cases have been managed with endovascular repair. 11,[22][23][24][25][26][27] However, thus far, only one case series report in 2009 described endovascular stent repair for SRAD. In this report, all 16 SRAD patients who had uncontrolled hypertension received successful endovascular treatment and achieved controlled blood pressure, 26 indicating that endovascular repair is a viable therapy for SRAD patients.…”

Endovascular Stenting in a Rare Case of Multiple Spontaneous Visceral Arterial Dissections

“…Based on literature review, due to its extreme rarity, only one other case describes the treatment for spontaneous dissections of multiple visceral arteries. 1 The etiology for spontaneous renal or splanchnic artery dissections is not fully understood but is commonly linked to arterial disease or connective tissue disorders. 2 In this patient, the multiple visceral arterial dissections are likely secondary to arteriopathy given the family history and genetic results demonstrating a variant in the TFTBR1 gene, and less likely from the sequela of trauma given the lack of symptoms during the time of trauma and time delay to presentation to ED.…”

Evaluation of isolated abdominal visceral artery dissection with multi-scale spiral computed tomography: a retrospective case series

“…Most of the reported incidences of SIVAD are isolated case reports [ 1 ]. SIVAD includes spontaneous dissection of the mesenteric, celiac, splenic, and renal arteries [ 2 , 3 ]. Its clinical features range from asymptomatic incidence to symptomatic cases including occlusion of the affected artery or dissecting aneurysm needing timely management to prevent acute catastrophic bowel ischemia or intestinal infarction [ 1 , 4 – 6 ].…”