Stent-graft treatment for bleeding superior mesenteric artery pseudoaneurysm after pancreaticoduodenectomy.
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.
Suzuki
Kojiro
K
Department of Radiology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Shouwa-ku, Nagoya, Japan. kojiro@med.nagoya-u.ac.jp
Mori
Yoshine
Y
Komada
Tomohiro
T
Matsushima
Masaya
M
Ota
Toyohiro
T
Naganawa
Shinji
S
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
D003287:Contrast Media; D011138:Polytetrafluoroethylene