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To the Editor: In his article about the diagnosis of the acute aortic dissection, Dr Klompas1 describes some of the complications that result from occlusion of major arteries originating from the aorta including cardiac, neurologic, renal, and limb syndromes. He does not mention, however, that acute aortic dissection may also compromise the mesenteric artery. In a retrospective review of peripheral vascular complications of aortic dissection, of the 28% of patients with aortic branch occlusion, 20% had mesenteric malperfusion, which was associated with a 36% mortality rate.2 There are also several case reports that describe presentations of acute aortic dissection with mesenteric compromise, including abdominal pain, hematochezia, melena, and obstructive jaundice.3 - 5
Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature
Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal
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