Endovascular treatment with flow-diverting stents of symptomatic superior mesenteric artery after dissection aneurysm

Isolated and spontaneous superior mesenteric artery dissection is a rare cause of acute abdominal pain. Whereas there is widespread consensus on conservative treatment of asymptomatic forms, revascularization would seem indicated in symptomatic complicated cases. A 73-year-old man presented with wor...

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Autores principales: Baldino, Giuseppe, Mortola, Paolo, Cambiaso, Marta, Valdata, Alessandro, Gori, Amerigo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Abdominal aortic aneurysm
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5757758/
https://www.ncbi.nlm.nih.gov/pubmed/29349370
http://dx.doi.org/10.1016/j.jvscit.2016.10.004
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author Baldino, Giuseppe
Mortola, Paolo
Cambiaso, Marta
Valdata, Alessandro
Gori, Amerigo
author_facet Baldino, Giuseppe
Mortola, Paolo
Cambiaso, Marta
Valdata, Alessandro
Gori, Amerigo
author_sort Baldino, Giuseppe
collection PubMed
description Isolated and spontaneous superior mesenteric artery dissection is a rare cause of acute abdominal pain. Whereas there is widespread consensus on conservative treatment of asymptomatic forms, revascularization would seem indicated in symptomatic complicated cases. A 73-year-old man presented with worsening epigastric pain. A computed tomography scan revealed an isolated and spontaneous superior mesenteric artery dissection with aneurysmal evolution of the false lumen, involving multiple side branches. The postdissection aneurysm was treated by endovascular exclusion with flow-diverting stents. The abdominal pain was completely relieved, and the patient remained asymptomatic at follow-up.
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spelling pubmed-57577582018-01-18 Endovascular treatment with flow-diverting stents of symptomatic superior mesenteric artery after dissection aneurysm Baldino, Giuseppe Mortola, Paolo Cambiaso, Marta Valdata, Alessandro Gori, Amerigo J Vasc Surg Cases Innov Tech Abdominal aortic aneurysm Isolated and spontaneous superior mesenteric artery dissection is a rare cause of acute abdominal pain. Whereas there is widespread consensus on conservative treatment of asymptomatic forms, revascularization would seem indicated in symptomatic complicated cases. A 73-year-old man presented with worsening epigastric pain. A computed tomography scan revealed an isolated and spontaneous superior mesenteric artery dissection with aneurysmal evolution of the false lumen, involving multiple side branches. The postdissection aneurysm was treated by endovascular exclusion with flow-diverting stents. The abdominal pain was completely relieved, and the patient remained asymptomatic at follow-up. Elsevier 2017-03-22 /pmc/articles/PMC5757758/ /pubmed/29349370 http://dx.doi.org/10.1016/j.jvscit.2016.10.004 Text en © 2016 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Abdominal aortic aneurysm
Baldino, Giuseppe
Mortola, Paolo
Cambiaso, Marta
Valdata, Alessandro
Gori, Amerigo
Endovascular treatment with flow-diverting stents of symptomatic superior mesenteric artery after dissection aneurysm
title Endovascular treatment with flow-diverting stents of symptomatic superior mesenteric artery after dissection aneurysm
title_full Endovascular treatment with flow-diverting stents of symptomatic superior mesenteric artery after dissection aneurysm
title_fullStr Endovascular treatment with flow-diverting stents of symptomatic superior mesenteric artery after dissection aneurysm
title_full_unstemmed Endovascular treatment with flow-diverting stents of symptomatic superior mesenteric artery after dissection aneurysm
title_short Endovascular treatment with flow-diverting stents of symptomatic superior mesenteric artery after dissection aneurysm
title_sort endovascular treatment with flow-diverting stents of symptomatic superior mesenteric artery after dissection aneurysm
topic Abdominal aortic aneurysm
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5757758/
https://www.ncbi.nlm.nih.gov/pubmed/29349370
http://dx.doi.org/10.1016/j.jvscit.2016.10.004
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