title: [Isolated superior mesenteric artery dissection: case for non-operative management].
abstract: OBJECTIVE
  To sum up the experience in diagnosis and treatment of isolated superior mesenteric artery (SMA) dissection and determine the best management for this disease.
  
  
  METHODS
  We retrospectively reviewed clinical data of two patients with isolated SMA dissection admitted in the first hospital of China medical university from October to December 2006 and 69 cases reported in the literature.
  
  
  RESULTS
  SMA dissection without aortic involvement is a rare event. Most diagnoses were established by CT and arteriography. Therapeutic option has not yet been established, however, conservative and interventional treatments have been reported more frequently. In our two cases, CT angiography allowed the rapid diagnoses. They were treated by conservative method and interventional stent separately, and have been followed-up for seven months. The managements were successful.
  
  
  CONCLUSIONS
  Early diagnosis and management directly influence the prognosis. The strategy of management should be determined by symptoms, blood supply of SMA, peritonitis et al.
authors.affiliation: Vascular Surgery Department, First Hospital of China Medical University, Shenyang 110001, China.
authors.forename: Bin
authors.initials: B
authors.lastname: Wu
authors.forename: Jian
authors.initials: J
authors.lastname: Zhang
authors.forename: Lei
authors.initials: L
authors.lastname: Wang
authors.forename: Xuan
authors.initials: X
authors.lastname: Li
authors.forename: Dong
authors.initials: D
authors.lastname: Yang
authors.forename: Zhi-Quan
authors.initials: ZQ
authors.lastname: Duan
authors.forename: Shi-Jie
authors.initials: SJ
authors.lastname: Xin
mesh_terms: D000784:Aortic Dissection / Q000175:diagnosis / Q000628:therapy*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior; D008875:Middle Aged; D011379:Prognosis; D012189:Retrospective Studies