title: Stent-graft treatment for bleeding superior mesenteric artery pseudoaneurysm after pancreaticoduodenectomy.
abstract: We report two cases of intraperitoneal bleeding from superior mesenteric artery (SMA) pseudoaneurysm after pancreaticoduodenectomy for pancreatic head carcinoma. In both cases, a stent-graft was deployed on the main SMA to exclude pseudoaneurysm and to preserve blood flow to the bowel. Bleeding stopped after the procedure. One patient was able to be discharged but died from carcinoma recurrence 4 months later. The other patient died of sepsis and stent-graft infection 5 months later. These patients remained free of intraperitoneal rebleeding during the follow-up period.
authors.affiliation: Department of Radiology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Shouwa-ku, Nagoya, Japan. kojiro@med.nagoya-u.ac.jp
authors.forename: Kojiro
authors.initials: K
authors.lastname: Suzuki
authors.forename: Yoshine
authors.initials: Y
authors.lastname: Mori
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Komada
authors.forename: Masaya
authors.initials: M
authors.lastname: Matsushima
authors.forename: Toyohiro
authors.initials: T
authors.lastname: Ota
authors.forename: Shinji
authors.initials: S
authors.lastname: Naganawa
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000628:therapy*; D000792:Angiography; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D002404:Catheterization; D003287:Contrast Media; D004621:Embolization, Therapeutic; D017809:Fatal Outcome; D005260:Female; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D017538:Mesenteric Artery, Superior; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D010190:Pancreatic Neoplasms / Q000601:surgery*; D016577:Pancreaticoduodenectomy; D011138:Polytetrafluoroethylene; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D015607:Stents; D013530:Surgical Wound Infection / Q000628:therapy; D014057:Tomography, X-Ray Computed
chemical_list: D003287:Contrast Media; D011138:Polytetrafluoroethylene