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Isolated Superior Mesenteric Artery Dissection: A Novel Etiology and a Review
Isolated superior mesenteric artery dissection (ISMAD) is a rare pathology with multifactorial etiology. The aim of this article is to provide a narrative review of the latest literature about ISMAD. Case reports, series, and recent meta-analyses were included. This review is introduced with a brief...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8958406/ https://www.ncbi.nlm.nih.gov/pubmed/35432650 http://dx.doi.org/10.3400/avd.ra.21-00055 |
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author | Eldine, Rakan Nasser Dehaini, Hassan Hoballah, Jamal Haddad, Fady |
author_facet | Eldine, Rakan Nasser Dehaini, Hassan Hoballah, Jamal Haddad, Fady |
author_sort | Eldine, Rakan Nasser |
collection | PubMed |
description | Isolated superior mesenteric artery dissection (ISMAD) is a rare pathology with multifactorial etiology. The aim of this article is to provide a narrative review of the latest literature about ISMAD. Case reports, series, and recent meta-analyses were included. This review is introduced with a brief case report of a rare etiology of ISMAD, followed by a discussion of its etiology, clinical presentation, diagnosis, classification, and treatment, and we report a new cause of ISMAD, that is, blunt abdominal trauma. The etiology of ISMAD is multifactorial, consisting of anatomic, genetic, and systemic components. ISMAD is more common among middle-aged males and in East Asia. Its clinical presentation ranges from asymptomatic to mesenteric ischemia, albeit mortality remains <1%. It is diagnosed and classified mostly by computed tomography angiography, and there are five classification systems for ISMAD, though traumatic etiology may be added. The treatment of ISMAD is mostly conservative, with a success rate exceeding 90%. Endovascular stenting is second line, reserved so far for failed medical management, though its role is expanding to include earlier management of symptomatic patients, while open surgical repair is left for acute mesenteric ischemia with bowel compromise. |
format | Online Article Text |
id | pubmed-8958406 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology |
record_format | MEDLINE/PubMed |
spelling | pubmed-89584062022-04-14 Isolated Superior Mesenteric Artery Dissection: A Novel Etiology and a Review Eldine, Rakan Nasser Dehaini, Hassan Hoballah, Jamal Haddad, Fady Ann Vasc Dis Review Article Isolated superior mesenteric artery dissection (ISMAD) is a rare pathology with multifactorial etiology. The aim of this article is to provide a narrative review of the latest literature about ISMAD. Case reports, series, and recent meta-analyses were included. This review is introduced with a brief case report of a rare etiology of ISMAD, followed by a discussion of its etiology, clinical presentation, diagnosis, classification, and treatment, and we report a new cause of ISMAD, that is, blunt abdominal trauma. The etiology of ISMAD is multifactorial, consisting of anatomic, genetic, and systemic components. ISMAD is more common among middle-aged males and in East Asia. Its clinical presentation ranges from asymptomatic to mesenteric ischemia, albeit mortality remains <1%. It is diagnosed and classified mostly by computed tomography angiography, and there are five classification systems for ISMAD, though traumatic etiology may be added. The treatment of ISMAD is mostly conservative, with a success rate exceeding 90%. Endovascular stenting is second line, reserved so far for failed medical management, though its role is expanding to include earlier management of symptomatic patients, while open surgical repair is left for acute mesenteric ischemia with bowel compromise. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2022-03-25 /pmc/articles/PMC8958406/ /pubmed/35432650 http://dx.doi.org/10.3400/avd.ra.21-00055 Text en © 2022 The Editorial Committee of Annals of Vascular Diseases. https://creativecommons.org/licenses/by/2.5/This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original. |
spellingShingle | Review Article Eldine, Rakan Nasser Dehaini, Hassan Hoballah, Jamal Haddad, Fady Isolated Superior Mesenteric Artery Dissection: A Novel Etiology and a Review |
title | Isolated Superior Mesenteric Artery Dissection: A Novel Etiology and a Review |
title_full | Isolated Superior Mesenteric Artery Dissection: A Novel Etiology and a Review |
title_fullStr | Isolated Superior Mesenteric Artery Dissection: A Novel Etiology and a Review |
title_full_unstemmed | Isolated Superior Mesenteric Artery Dissection: A Novel Etiology and a Review |
title_short | Isolated Superior Mesenteric Artery Dissection: A Novel Etiology and a Review |
title_sort | isolated superior mesenteric artery dissection: a novel etiology and a review |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8958406/ https://www.ncbi.nlm.nih.gov/pubmed/35432650 http://dx.doi.org/10.3400/avd.ra.21-00055 |
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