Isolated Spontaneous Dissection of Superior Mesenteric Artery: Treated by Percutaneous Endovascular Stent Placement.
- Author:
Jae Wuk KWAK
1
;
Chang Nyol PAIK
;
Kang Moon LEE
;
Woo Chul CHUNG
;
Sung Hoon JUNG
;
Ji Eun KIM
;
Jun Hyun BAIK
;
Jin Mo YANG
Author Information
- Publication Type:Case Report ; English Abstract
- Keywords: Superior mesenteric artery dissection; Percutaneous stent
- MeSH: Aneurysm, Dissecting/complications/*diagnosis/surgery; Humans; Male; *Mesenteric Artery, Superior/radiography; Mesenteric Vascular Occlusion/etiology/surgery; Middle Aged; *Stents; Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology 2010;55(1):58-61
- CountryRepublic of Korea
- Language:Korean
- Abstract: Isolated spontaneous dissection of the superior mesenteric artery (SMA) without aortic dissection is a rare cause of acute mesenteric ischemia. A sudden decrease of intestinal blood flow can lead to fatal complications such as ischemic necrosis, shock, and death. Therefore, early diagnosis and therapeutic approach before the occurrence of intestinal infarction are the most important factor to determine the patient's prognosis. A 52-year-old male presented with postprandial periumbilical pain, and isolated spontaneous dissection of the superior mesenteric artery with mural thrombus was detected by abdominal computed tomography with contrast enhancement. By the percutaneous implantation of vascular metallic stent via femoral artery, he was treated successfully. We report a case of isolated spontaneous dissection of the SMA treated by a percutaneous endovascular stent replacement with a review of literature.
