title: [Isolated spontaneous dissection of superior mesenteric artery: treated by percutaneous endovascular stent placement].
abstract: 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.
authors.affiliation: Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
authors.forename: Jae Wuk
authors.initials: JW
authors.lastname: Kwak
authors.forename: Chang Nyol
authors.initials: CN
authors.lastname: Paik
authors.forename: Kang Moon
authors.initials: KM
authors.lastname: Lee
authors.forename: Woo Chul
authors.initials: WC
authors.lastname: Chung
authors.forename: Sung Hoon
authors.initials: SH
authors.lastname: Jung
authors.forename: Ji Eun
authors.initials: JE
authors.lastname: Kim
authors.forename: Jun Hyun
authors.initials: JH
authors.lastname: Baik
authors.forename: Jin Mo
authors.initials: JM
authors.lastname: Yang
mesh_terms: 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