Retrograde stenting of the superior mesenteric artery is the procedure of choice for dissection of the aorta with mesenteric compromise.

5 , 8 , 9 , 11 , 12 The International Registry of Acute Aortic Dissection reported an incidence of visceral ischemia in 7.1% of patients with TBAD, with highly significant difference in in-hospital mortality rate of 30.8% in patients with visceral ischemia vs 9.1% without. 4 Thoracic endovascular aortic repair has largely replaced open fenestration procedures, which were previously used in malperfusion syndrome resolution.

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