Superior mesenteric artery pseudoaneurysm following pancreaticoduodenectomy: management by endovascular stent-graft placement and transluminal thrombin injection.
Superior mesenteric artery (SMA) pseudoaneurysm formation is a rare and potentially fatal postoperative complication. Herein we present a case of a large post-pancreaticoduodenectomy SMA pseudoaneurysm that required thrombin injection after initial stent-graft deployment to accomplish complete pseudoaneurysm occlusion.
Wallace
Michael J
MJ
Department of Diagnostic Radiology, The University of Texas M.D. Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX 77030-4009, USA. mwallace@mdanderson.org
Choi
Eugene
E
McRae
Stephen
S
Madoff
David C
DC
Ahrar
Kamran
K
Pisters
Peter
P
D000230:Adenocarcinoma / Q000601:surgery; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000601:surgery*; D000792:Angiography; D017130:Angioplasty; D019917:Blood Vessel Prosthesis Implantation; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D015552:Injections, Intralesional; D008197:Lymph Node Excision; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000601:surgery; D016577:Pancreaticoduodenectomy; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D015607:Stents; D013917:Thrombin / Q000008:administration & dosage*; D014057:Tomography, X-Ray Computed
D013917:Thrombin