A Stent Graft Placement in a Focally Progressed Dissection in the Superior Mesenteric Artery.
10.4174/jkss.2010.78.2.127
- Author:
Seung Jae BYUN
1
Author Information
1. Department of Surgery, Wonkwang University College of Medicine, Iksan, Korea. polarisking@wonkwang.ac.kr
- Publication Type:Case Report
- Keywords:
Superior mesenteric artery dissection;
Stent graft
- MeSH:
Abdominal Pain;
Aneurysm;
Dilatation;
Follow-Up Studies;
Humans;
Male;
Mesenteric Artery, Superior;
Middle Aged;
Polyenes;
Stents;
Transplants
- From:Journal of the Korean Surgical Society
2010;78(2):127-131
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Focal aneurysmal change after spontaneous superior mesenteric artery (SMA) dissection has been reported rarely. A stent graft implantation can exclude false lumen and possibly make major abdominal operation avoidable. A 52-year-old male patient was admitted due to abdominal pain for 10 days. A CT scan showed severe narrowing of the true lumen of SMA, approximately a 7 cm segment from the origin, due to compression by the thrombosed false lumen. Five days after admission, abdominal pain aggravated progressively. The follow-up CT revealed focal aneurysmal dilatation of the dissected SMA segment. I report here an endovascular treatment with stent graft implantation for a focal aneurysmal change after SMA dissection.
