[A case of spontaneous dissection of the superior mesenteric artery treated by percutaneous stent placement].
Acute mesenteric ischemia can result from emboli, arterial and venous thrombi or vasoconstriction secondary to low-flow states. Isolated spontaneous dissection of the superior mesenteric artery is a rare cause of acute mesenteric ischemia. The mortality rates of acute mesenteric ischemia averages 71% with a range of 59-93%. Diagnosis before the occurrence of intestinal infarction is the most important factor in improving survival rate for patients with acute mesenteric ischemia. A 68-year-old female presented with postprandial epigastric pain, and a dissection of the superior mesenteric artery and a gallbladder polyp were shown in abdominal computed tomographic scan. After the percutaneous metalic stent placement and laparoscopic cholecystectomy, her symptoms improved. We report a case of spontaneous dissection of main trunk of the superior mesenteric artery which was successfully treated by percutaneous stent placement with a review of literature.
Ko
Geun Jun
GJ
Department of Internal Medicine, Kwandong University College of Medicine, Deogyang-gu, Goyang, Korea.
Han
Ki Jun
KJ
Han
Seo Goo
SG
Hwang
Sang Yon
SY
Choi
Chang Hwan
CH
Gham
Chang Woo
CW
Cho
Hyeon Geun
HG
Song
Soon-Young
SY
Jung
Jin Ho
JH
D000208:Acute Disease; D000368:Aged; D000784:Aortic Dissection / Q000150:complications / Q000628:therapy*; D000800:Angioplasty, Balloon; D005260:Female; D006801:Humans; D007511:Ischemia / Q000209:etiology; D017538:Mesenteric Artery, Superior; D008641:Mesenteric Vascular Occlusion / Q000209:etiology; D015607:Stents