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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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
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author Tanaka, Shinichi
Fukuda, Atsushi
Kawakubo, Eisuke
Matsumoto, Takuya
author_facet Tanaka, Shinichi
Fukuda, Atsushi
Kawakubo, Eisuke
Matsumoto, Takuya
author_sort Tanaka, Shinichi
collection PubMed
description 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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spelling pubmed-68206342019-11-14 Superior mesenteric artery dissection with prolonged abdominal angina treated by laparotomy, endarterectomy, patch angioplasty, and retrograde open mesenteric stenting: a case report Tanaka, Shinichi Fukuda, Atsushi Kawakubo, Eisuke Matsumoto, Takuya Surg Case Rep 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 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. Springer Berlin Heidelberg 2019-10-29 /pmc/articles/PMC6820634/ /pubmed/31664639 http://dx.doi.org/10.1186/s40792-019-0736-0 Text en © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Case Report
Tanaka, Shinichi
Fukuda, Atsushi
Kawakubo, Eisuke
Matsumoto, Takuya
Superior mesenteric artery dissection with prolonged abdominal angina treated by laparotomy, endarterectomy, patch angioplasty, and retrograde open mesenteric stenting: a case report
title Superior mesenteric artery dissection with prolonged abdominal angina treated by laparotomy, endarterectomy, patch angioplasty, and retrograde open mesenteric stenting: a case report
title_full Superior mesenteric artery dissection with prolonged abdominal angina treated by laparotomy, endarterectomy, patch angioplasty, and retrograde open mesenteric stenting: a case report
title_fullStr Superior mesenteric artery dissection with prolonged abdominal angina treated by laparotomy, endarterectomy, patch angioplasty, and retrograde open mesenteric stenting: a case report
title_full_unstemmed Superior mesenteric artery dissection with prolonged abdominal angina treated by laparotomy, endarterectomy, patch angioplasty, and retrograde open mesenteric stenting: a case report
title_short Superior mesenteric artery dissection with prolonged abdominal angina treated by laparotomy, endarterectomy, patch angioplasty, and retrograde open mesenteric stenting: a case report
title_sort superior mesenteric artery dissection with prolonged abdominal angina treated by laparotomy, endarterectomy, patch angioplasty, and retrograde open mesenteric stenting: a case report
topic Case Report
url 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
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