[Isolated spontaneous dissection of superior mesenteric artery: treated by percutaneous endovascular stent placement].
Isolated spontaneous dissection of the superior mesenteric artery (SMA) without aortic dissection is a rare cause of acute mesenteric ischemia. A sudden decrease of intestinal blood flow can lead to fatal complications such as ischemic necrosis, shock, and death. Therefore, early diagnosis and therapeutic approach before the occurrence of intestinal infarction are the most important factor to determine the patients prognosis. A 52-year-old male presented with postprandial periumbilical pain, and isolated spontaneous dissection of the superior mesenteric artery with mural thrombus was detected by abdominal computed tomography with contrast enhancement. By the percutaneous implantation of vascular metallic stent via femoral artery, he was treated successfully. We report a case of isolated spontaneous dissection of the SMA treated by a percutaneous endovascular stent replacement with a review of literature.
Kwak
Jae Wuk
JW
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Paik
Chang Nyol
CN
Lee
Kang Moon
KM
Chung
Woo Chul
WC
Jung
Sung Hoon
SH
Kim
Ji Eun
JE
Baik
Jun Hyun
JH
Yang
Jin Mo
JM
D000784:Aortic Dissection / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging; D008641:Mesenteric Vascular Occlusion / Q000209:etiology / Q000601:surgery; D008875:Middle Aged; D015607:Stents; D014057:Tomography, X-Ray Computed