title: Superior mesenteric artery pseudoaneurysm following pancreaticoduodenectomy: management by endovascular stent-graft placement and transluminal thrombin injection.
abstract: 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.
authors.affiliation: Department of Diagnostic Radiology, The University of Texas M.D. Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX 77030-4009, USA. mwallace@mdanderson.org
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Wallace
authors.forename: Eugene
authors.initials: E
authors.lastname: Choi
authors.forename: Stephen
authors.initials: S
authors.lastname: McRae
authors.forename: David C
authors.initials: DC
authors.lastname: Madoff
authors.forename: Kamran
authors.initials: K
authors.lastname: Ahrar
authors.forename: Peter
authors.initials: P
authors.lastname: Pisters
mesh_terms: 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
chemical_list: D013917:Thrombin