Stenting of the superior mesenteric artery as a preoperative treatment for total pancreatectomy.
The patient was 58-year-old male with mucinous cyst adenocarcinoma of the pancreas. Prior to total pancreatectomy, preoperative CT and angiography showed a high-grade arteriosclerotic stenosis of about 1.0 cm in length in the ostium of the superior mesenteric artery (SMA), as well as the development of collateral vessels in the area around the head of the pancreas. A stent was placed in the SMA stenosis to preserve intestinal blood flow in the SMA region after total pancreatectomy, which was performed 25 days after stent placement. The postoperative SMA blood flow was favorable, with no postoperative intestinal ischemia, and the patient had an uneventful postoperative course.
Department of Radiology, Kansai Medical University, Fumizono, Moriguchi, Osaka, Japan. tanigano@takii.kmu.ac.jp
Noboru
N
Tanigawa
Shuji
S
Kariya
Atsushi
A
Komemushi
Sohei
S
Satoi
Yasuo
Y
Kamiyama
Satoshi
S
Sawada
Hiroyuki
H
Kojima
Mitsuharu
M
Sougawa
Yuichirou
Y
Takai
D019917:Blood Vessel Prosthesis Implantation; D003097:Collateral Circulation; D018282:Cystadenocarcinoma, Mucinous / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D008641:Mesenteric Vascular Occlusion / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D008875:Middle Aged; D010180:Pancreatectomy; D010190:Pancreatic Neoplasms / Q000503:physiopathology / Q000601:surgery; D011300:Preoperative Care; D015607:Stents; D014057:Tomography, X-Ray Computed