Surgical treatment of superior mesenteric artery dissecting aneurysm and simultaneous celiac artery compression.
Spontaneous dissections of visceral arteries are rare, but when they do occur, they most commonly involve the superior mesenteric artery (SMA). We present a case of intestinal ischemia caused by a spontaneous dissection of the SMA in a patient with simultaneous celiac artery occlusion. The patient was a 45-year-old woman who presented with intestinal angina of sudden onset. Arteriography revealed the classic findings of SMA dissection and occlusion of the celiac artery. The patient underwent repair of both visceral vessels and made a full recovery. The 18 previously reported cases of isolated, spontaneous dissection of the SMA are reviewed. No previous case has been associated with celiac compression syndrome. The reported experience with symptomatic dissections of the SMA would suggest that prompt surgical repair is indicated and yields excellent results.
Solis
M M
MM
Department of Surgery, University of Arkansas for Medical Sciences, Little Rock.
Ranval
T J
TJ
McFarland
D R
DR
Eidt
J F
JF
D000714:Anastomosis, Surgical; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography; D002445:Celiac Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D003097:Collateral Circulation / Q000502:physiology; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000601:surgery*; D007583:Jejunum / Q000098:blood supply*; D008099:Liver / Q000098:blood supply; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging / Q000601:surgery*; D008641:Mesenteric Vascular Occlusion / Q000000981:diagnostic imaging / Q000601:surgery; D008875:Middle Aged; D017131:Thrombectomy; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000601:surgery