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In the absence of other predisposing factors, we supposed an association with prior COVID-19 and performed a systematic review of the literature to search for similar cases with arterial dissection related to acute or recent SARS-CoV-2 infection. Results: We identified 25 cases, including ours: 13 males and 12 females, with a median age of 48 years. In 22\/25 patients, arterial dissection occurred within 4 weeks after the diagnosis of COVID-19 and involved the cerebral (11\/25; 44%), coronary (10\/25; 40%), splanchnic (3\/25; 12%) and renal (2\/25; 8%) arteries. Conclusions: Although initially known for its respiratory manifestations, it has become evident that SARS-CoV-2 not only infects pneumocytes but also enters the vascular endothelium, leading to endothelial dysfunction and hypercoagulability and \u2013 as shown in our case \u2013 large-vessel vasculitis, which may predispose patients to intramural haemorrhage and arterial dissection. <\/jats:p>","DOI":"10.1024\/0301-1526\/a001051","type":"journal-article","created":{"date-parts":[[2023,1,13]],"date-time":"2023-01-13T08:38:46Z","timestamp":1673599126000},"page":"107-118","source":"Crossref","is-referenced-by-count":1,"title":["Spontaneous dissection of the superior mesenteric artery related to COVID-19"],"prefix":"10.1024","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0906-9509","authenticated-orcid":true,"given":"Leszek","family":"Kukulski","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, University Hospital Regensburg, 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