Self-limited spontaneous dissection of the main trunk of the superior mesenteric artery.
Spontaneous dissection of the splanchnic arteries is rare and reportedly carries a high risk of mortality. Two cases with spontaneous dissection of the main trunk of the superior mesenteric artery followed by a self-limited clinical course are presented. Current management strategies, including bypass operation, patch angioplasty, and conservative treatments, are discussed. Emphasis is placed on the role of nonsurgical management with careful follow-up with the use of new technologies such as duplex and computed tomography scanning.
Yasuhara
H
H
Department of Surgery I, University of Tokyo, Japan.
Shigematsu
H
H
Muto
T
T
D000784:Aortic Dissection / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy; D017541:Aneurysm, False / Q000175:diagnosis / Q000628:therapy; D017542:Aneurysm, Ruptured / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy; D000792:Angiography; D002423:Cause of Death; D005500:Follow-Up Studies; D006406:Hematoma / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging / Q000473:pathology*; D008875:Middle Aged; D012307:Risk Factors; D014057:Tomography, X-Ray Computed; D018616:Ultrasonography, Doppler, Duplex