# Open surgical repair of traumatic abdominal aortic dissection with superior mesenteric arterial occlusion

## TL;DR

This paper describes a successful open surgical repair of a rare traumatic aortic injury involving the superior mesenteric artery.

## Contribution

The case demonstrates the effectiveness of classical surgical techniques in managing complex aortic trauma with visceral hypoperfusion.

## Key findings

- Open surgical repair with aortic replacement and iliac–mesenteric bypass restored visceral perfusion.
- Timely diagnosis and aggressive vascular reconstruction salvaged the patient despite organ ischemia.
- Successful outcomes are achievable with appropriate surgical intervention in such rare injuries.

## Abstract

Traumatic abdominal aortic injury with visceral arterial involvement is rare and associated with high mortality, even with prompt intervention. We present a case of mesenteric ischemia caused by traumatic dissection of the infrarenal abdominal aorta and occlusion of the superior mesenteric artery. The patient underwent open surgical repair with infrarenal aortic replacement and an iliac–mesenteric bypass to restore visceral perfusion. Despite established organ ischemia, classical surgical techniques proved effective. This case highlights the importance of timely diagnosis and aggressive vascular reconstruction in salvaging patients with complex aortic trauma and visceral hypoperfusion. Successful outcomes remain achievable with appropriate surgical intervention.