Catastrophic STS/SVS type B3 aortic dissection complicated by hepatic portal venous gas and multi-organ malperfusion: a case report

Jia Li, Xinping Lan, Jianbo Guo, Zifang Shang · 2026

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Description

Jia Li and colleagues describe a 2026 fatal case of aortic dissection. A tear in the main artery was classed as type B3. Poor blood flow hit several organs at once. Gas also appeared in the liver's portal vein. Their patient was a 64-year-old man with high blood pressure. He had eight hours of severe belly pain.

Scans showed the tear running from the aortic arch to the iliac arteries. Gut arteries were blocked, and gas filled the bowel wall and liver vein. Those signs point to dead bowel tissue. Blood tests showed extreme inflammation, with IL-6 reaching 14,001.98 pg/mL in the reported results. Stubborn acid build-up added to the picture. The family chose comfort care, and he died 47 hours later.

Catalog record

CREATORJia Li, Xinping Lan, Jianbo Guo, Zifang Shang
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE14844
LICENSEhttps://creativecommons.org/licenses/by/4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/article/MED/PMC13318642

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