A Case Report of Percutaneous Transluminal Angioplasty with Stenting in.
10.4070/kcj.1997.27.2.228
- Author:
Jong Hyun KIM
;
Shinki AHN
;
Won Heum SHIM
- Publication Type:Case Report
- Keywords:
PTA with stenting;
Superior mesenteric artery steonsis;
Intestinal angina
- MeSH:
Abdominal Pain;
Aged;
Angioplasty*;
Aorta;
Arteries;
Chronic Pain;
Constriction, Pathologic;
Diarrhea;
Eating;
Extremities;
Follow-Up Studies;
Humans;
Ischemia;
Male;
Mesenteric Artery, Superior;
Nausea;
Stents*;
Vomiting;
Weight Loss
- From:Korean Circulation Journal
1997;27(2):228-233
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Percutaneous transluminal angioplasty(PTA) was first described by Dotter and Jukins in 1964 and subsequently modified by Gruentzig and Hoff in 1974. PTA has proved a safe and effective treatment for focal atherosclerotic disease of the aorta and its major extremity branches. The complications of PTA of the peripheral vessels are less frequent and less serve than those associated with the comparable surgical procedure. Intestinal angina is a clinical syndrome compromising postprandial abdominal pain, nausea, vomiting, diarrhea, weight loss, and eventually fear of eating. The syndrome is thought to be due to visceral ischemia, with stenosis or occlusion of the three visceral arteries being necessary for the syndrome to occur. Although the first report of mesenteric PTA appeared in 1980, the series of PTA with stenting of the visceral arteris reported in the literature have been small or included limited follow-up. We report a case of a intestinal angina due to superior mesenteric arterial stenosis. A 69-year-old male complained of serve postprandial pain, chronic diarrhea for 1 year. PTA with stening in superior mesenteric artery results in recannulation of obstructed artery and relief of symptom.
