# Intravascular Ultrasound-Guided Stenting of the Celiac Artery for Hepatic Hypoperfusion After Acute Type A Aortic Dissection: A Case Report

## TL;DR

A patient with a life-threatening aortic dissection developed celiac artery occlusion, and an ultrasound-guided stent restored liver blood flow and saved her life.

## Contribution

This case report presents a novel approach using intravascular ultrasound-guided stenting for celiac artery dissection after type A aortic dissection.

## Key findings

- Celiac artery dissection occurred after type A aortic dissection surgery in a 39-year-old female.
- Ultrasound-guided stent placement successfully restored hepatic perfusion and prevented organ failure.
- The case highlights a potential treatment strategy for postoperative celiac artery complications.

## Abstract

Type A aortic dissection is a life-threatening emergency requiring prompt surgical treatment. The dissection itself and use of cardiopulmonary bypass can lead to further postoperative complications, including aortic branch occlusion, thrombosis, ischemia, and fatal end-organ damage. Celiac artery occlusion with consequent hepatic malperfusion is one feared complication of aortic dissection, which requires urgent surgical intervention. Optimal management of celiac artery dissection in the setting of type A aortic dissection has not yet been described in the literature. In this report, we describe a 39-year-old female patient with hypertension who was found to have celiac artery dissection and impending hepatic failure less than 48 hours after emergent ascending aortic replacement for type A aortic dissection. Placement of an ultrasound-guided endovascular celiac artery stent enabled reperfusion of the liver, ultimately saving the patient’s life.