Successful percutaneous endovascular management of acute post-traumatic superior mesenteric artery dissection using a transradial approach.
Acute aortic dissection extending into the superior mesenteric artery (SMA) following a blunt trauma is an extremely rare complication. We report a case of acute post-traumatic SMA dissection presented with an acute abdominal syndrome. Computed tomographic angiography and arteriography allowed a rapid diagnosis and urgent percutaneous endovascular intervention through transradial route. This approach saved a major surgical intervention and related morbidity.
Patel
Tejas
T
Total Cardiovascular Solutions Private Limited, Ahmedabad, India. tejaspatel@tcvsgroup.org
Kuladhipati
Indra
I
Shah
Sanjay
S
D000007:Abdominal Injuries / Q000601:surgery*; D000058:Accidental Falls; D000368:Aged; D000784:Aortic Dissection / Q000175:diagnosis / Q000601:surgery*; D017130:Angioplasty / Q000295:instrumentation / Q000379:methods*; D001012:Aorta, Abdominal / Q000293:injuries* / Q000601:surgery; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior / Q000293:injuries* / Q000601:surgery*; D017534:Radial Artery; D015607:Stents; D014057:Tomography, X-Ray Computed; D018608:Ultrasonography, Doppler; D014949:Wounds, Nonpenetrating / Q000601:surgery*