Open Surgical Repair Using the Femoral Vein for a Mycotic Superior Mesenteric Artery Aneurysm.
10.5090/kjtcs.2018.51.3.209
- Author:
Min NAMKOONG
1
;
Seok Beom HONG
;
Hwan Wook KIM
;
Keon Hyon JO
;
Jang Yong KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Korea. khjo@cmcnu.or.kr
- Publication Type:Case Report
- Keywords:
Superior mesenteric artery aneurysm;
Endocarditis;
Femoral vein;
Sternotomy
- MeSH:
Abdominal Pain;
Aged;
Aneurysm*;
Diagnosis;
Echocardiography;
Emergencies;
Emergency Service, Hospital;
Endocarditis;
Femoral Vein*;
Heart Murmurs;
Humans;
Mesenteric Artery, Superior*;
Mitral Valve;
Sternotomy
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2018;51(3):209-212
- CountryRepublic of Korea
- Language:English
-
Abstract:
Superior mesenteric artery (SMA) aneurysms are rare and often fatal. A 72-year-old man had previously been admitted to the emergency room with epigastric pain and heart murmur. The echocardiographic diagnosis was vegetation on the aortic and mitral valves, with moderate regurgitation from both valves due to infective endocarditis. No aneurysm was detected on abdominal computed tomography, and emergency double-valve replacement was performed. On postoperative day 25, the patient experienced abrupt abdominal pain, and computed tomography revealed a mycotic SMA aneurysm. Open surgical repair of the SMA aneurysm was performed using the femoral vein, and the patient's postoperative course was uneventful.
