Endovascular repair of traumatic superior mesenteric artery to splenic vein fistula.
Traumatic mesenteric arterioportal fistulas (APF) are rare but serious and life-threatening. This article reports the case of a 24-year-old female who suffered a gunshot wound to the abdomen and subsequently developed a superior mesenteric artery (SMA) pseudoaneurysm and APF, which caused secondary right heart failure and pulmonary hypertension. The patient underwent a successful endovascular stent-graft exclusion of the pseudoaneurysm/APF. The patient was asymptomatic 18 months post procedure and leading an active life with a normal arterial flow in the SMA confirmed by duplex ultrasonography.
Al-Khayat
Haitham
H
Department of Surgery, Ryder Trauma Center, University of Miami School of Medicine, Miami, Florida 33136, USA. halkhayat@yahoo.com
Haider
Hani H
HH
Al-Haddad
Abdullah
A
Al-Khayat
Hisham
H
Ginzburg
Enrique
E
D000007:Abdominal Injuries / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D000328:Adult; D017541:Aneurysm, False / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001164:Arteriovenous Fistula / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D005260:Female; D006333:Heart Failure / Q000209:etiology / Q000601:surgery; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology / Q000601:surgery; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging / Q000601:surgery*; D019060:Minimally Invasive Surgical Procedures; D015641:Radiography, Interventional; D013162:Splenic Vein / Q000000981:diagnostic imaging / Q000601:surgery*; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014948:Wounds, Gunshot / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery