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Endovascular stenting of spontaneous isolated dissection of the superior mesenteric artery: A case report and literature review

RATIONALE: Spontaneous isolated dissection of the superior mesenteric artery (SID-SMA) is a rare arterial disease that is difficult to differentiate from other diseases because of lack of specific clinical manifestation and for which there is no available optimal management strategy. PATIENT CONCERN...

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Autores principales: Gao, Dong-Na, Qi, Qing-Hui, Gong, Ping
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5704821/
https://www.ncbi.nlm.nih.gov/pubmed/29145276
http://dx.doi.org/10.1097/MD.0000000000008598
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author Gao, Dong-Na
Qi, Qing-Hui
Gong, Ping
author_facet Gao, Dong-Na
Qi, Qing-Hui
Gong, Ping
author_sort Gao, Dong-Na
collection PubMed
description RATIONALE: Spontaneous isolated dissection of the superior mesenteric artery (SID-SMA) is a rare arterial disease that is difficult to differentiate from other diseases because of lack of specific clinical manifestation and for which there is no available optimal management strategy. PATIENT CONCERNS: A 58-year-old male patient visited our emergency room with sudden onset of moderate-severe epigastric abdominal pain of uncertain cause. DIAGNOSES: Computed tomography scanning showed a characteristic “double lumen sign” of the superior mesenteric artery, and further computed tomography angiography findings revealed a dissected segment of the superior mesenteric artery. INTERVENTIONS: Conservative management was administered for 5 days, but the abdominal pain remained. Subsequently, an endovascular stent was placed in the affected superior mesenteric artery. Postoperative antiplatelet therapy was administered for 6 months. OUTCOMES: The abdominal pain was relieved. Six months later, a follow-up of computed tomography angiography showed that the stent placed had no interval narrowing. LESSONS: Based on our review and the illustration of this case, endovascular stenting may be a preferred rescue treatment in SID-SMA patients for whom initial conservative treatment fails.
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spelling pubmed-57048212017-12-07 Endovascular stenting of spontaneous isolated dissection of the superior mesenteric artery: A case report and literature review Gao, Dong-Na Qi, Qing-Hui Gong, Ping Medicine (Baltimore) 7100 RATIONALE: Spontaneous isolated dissection of the superior mesenteric artery (SID-SMA) is a rare arterial disease that is difficult to differentiate from other diseases because of lack of specific clinical manifestation and for which there is no available optimal management strategy. PATIENT CONCERNS: A 58-year-old male patient visited our emergency room with sudden onset of moderate-severe epigastric abdominal pain of uncertain cause. DIAGNOSES: Computed tomography scanning showed a characteristic “double lumen sign” of the superior mesenteric artery, and further computed tomography angiography findings revealed a dissected segment of the superior mesenteric artery. INTERVENTIONS: Conservative management was administered for 5 days, but the abdominal pain remained. Subsequently, an endovascular stent was placed in the affected superior mesenteric artery. Postoperative antiplatelet therapy was administered for 6 months. OUTCOMES: The abdominal pain was relieved. Six months later, a follow-up of computed tomography angiography showed that the stent placed had no interval narrowing. LESSONS: Based on our review and the illustration of this case, endovascular stenting may be a preferred rescue treatment in SID-SMA patients for whom initial conservative treatment fails. Wolters Kluwer Health 2017-11-17 /pmc/articles/PMC5704821/ /pubmed/29145276 http://dx.doi.org/10.1097/MD.0000000000008598 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-sa/4.0 This is an open access article distributed under the Creative Commons Attribution-ShareAlike License 4.0, which allows others to remix, tweak, and build upon the work, even for commercial purposes, as long as the author is credited and the new creations are licensed under the identical terms. http://creativecommons.org/licenses/by-sa/4.0
spellingShingle 7100
Gao, Dong-Na
Qi, Qing-Hui
Gong, Ping
Endovascular stenting of spontaneous isolated dissection of the superior mesenteric artery: A case report and literature review
title Endovascular stenting of spontaneous isolated dissection of the superior mesenteric artery: A case report and literature review
title_full Endovascular stenting of spontaneous isolated dissection of the superior mesenteric artery: A case report and literature review
title_fullStr Endovascular stenting of spontaneous isolated dissection of the superior mesenteric artery: A case report and literature review
title_full_unstemmed Endovascular stenting of spontaneous isolated dissection of the superior mesenteric artery: A case report and literature review
title_short Endovascular stenting of spontaneous isolated dissection of the superior mesenteric artery: A case report and literature review
title_sort endovascular stenting of spontaneous isolated dissection of the superior mesenteric artery: a case report and literature review
topic 7100
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5704821/
https://www.ncbi.nlm.nih.gov/pubmed/29145276
http://dx.doi.org/10.1097/MD.0000000000008598
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