Considerations in the management of aneurysms of the superior mesenteric artery.
Aneurysms of the superior mesenteric artery (SMA) are rare, accounting for 5.5% of all splanchnic aneurysms and <0.5% of all intraabdominal aneurysms. Previous reports have characterized these aneurysms among splanchnic artery aneurysms. However, these aneurysms are quite different in terms of etiology, presentation, and treatment, and their independent consideration is warranted. We report a patient with a traumatic SMA aneurysms who was successfully treated with surgical resection and distal revascularization. We also present an alternative technique of retrograde aorto-SMA bypass using autologous vein that prevents kinking. Also included is a review of the recent literature as it pertains specifically to SMA aneurysms.
Zimmerman-Klima
P M
PM
Department of Surgery, East Carolina University School of Medicine, Greenville, North Carolina 27858-4354, USA.
Wixon
C L
CL
Bogey
W M
WM
Lalikos
J F
JF
Powell
C S
CS
D000784:Aortic Dissection / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior / Q000293:injuries / Q000601:surgery*; D008641:Mesenteric Vascular Occlusion / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D008875:Middle Aged; D014680:Veins / Q000637:transplantation