Superior mesenteric artery dissection with prolonged abdominal angina treated by laparotomy, endarterectomy, patch angioplasty, and retrograde open mesenteric stenting: a case report

BACKGROUND: Most patients with isolated superior mesenteric artery (SMA) dissection are successfully managed conservatively. However, some patients require more invasive treatment. CASE PRESENTATION: We herein describe a 45-year-old man with isolated SMA dissection. He initially underwent conservati...

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Detalles Bibliográficos
Autores principales: Tanaka, Shinichi, Fukuda, Atsushi, Kawakubo, Eisuke, Matsumoto, Takuya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6820634/
https://www.ncbi.nlm.nih.gov/pubmed/31664639
http://dx.doi.org/10.1186/s40792-019-0736-0
Descripción
Sumario:BACKGROUND: Most patients with isolated superior mesenteric artery (SMA) dissection are successfully managed conservatively. However, some patients require more invasive treatment. CASE PRESENTATION: We herein describe a 45-year-old man with isolated SMA dissection. He initially underwent conservative treatment. However, because of persistent abdominal angina, we considered the need for surgical revascularization. He was successfully treated by endarterectomy, patch angioplasty, and retrograde open mesenteric stenting. The abdominal angina was stabilized thereafter. CONCLUSIONS: The combination of endarterectomy, patch angioplasty, and retrograde open mesenteric stenting is useful for isolated SMA dissection, and long patency can be expected for some patients.

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