Mycotic Aneurysm of the Superior Mesenteric Artery Secondary to Infectious Endocarditis : A case report .
- Author:
Jong Kwon PARK
;
Hyoung Guen LEE
;
Min JUNG
;
Dong Guk PARK
;
Jung Taik KIM
;
Duck Hwan KIM
- Publication Type:Case Report
- Keywords:
Mycotic aneurysm;
Superior mesenteric artery;
Impending rupture
- MeSH:
Abdominal Pain;
Aged;
Aneurysm;
Aneurysm, Infected*;
Aortic Valve Insufficiency;
Arteries;
Collateral Circulation;
Endocarditis*;
Female;
Heart Valve Diseases;
Humans;
Mesenteric Artery, Superior*;
Mitral Valve Insufficiency;
Rupture
- From:Journal of the Korean Surgical Society
1998;55(1):137-143
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Aneurysms of the superior mesenteric artery are rare, accounting for 8% of visceral artery aneurysms. About 60% of all superior mesenteric artery aneurysms have a mycotic origin. The only helpful clinical manifestations are episodes of previous abdominal pain and a history of valvular heart disease. In this case, a 66-year-old female patient with mitral regurgitation and aortic regurgitation presented with pain in the upper abdominal area. A superior mesenteric artery aneurysm was diagnosed at the time of impending rupture. Since excellent collateral circulation was present, an aneurysmectomy without revascularization was performed, and no ischemic symptom occurred. The patient presented no major complications during the postoperative course.
