title: Open and endovascular treatment for pseudoaneurysms of the superior mesenteric artery.
abstract: BACKGROUND
  Pseudoaneurysms of the superior mesenteric artery are rare, and their natural history is characterized by their tendency to rupture, thereby leading to a high mortality rate. Compared with classic surgical techniques (open), in recent years the possibility of endovascular treatment has increased.
  
  
  RESULTS
  We report the cases of two patients with a pseudoaneurysm of the superior mesenteric artery. Each case was successfully treated in a different way: open and endovascular surgery.
  
  
  CONCLUSIONS
  Despite the advantages (less risk for the patient) and good results obtained with endovascular surgery, this cannot completely replace open surgery. The choice of the most appropriate therapeutic option for pseudoaneurysms of the superior mesenteric artery depends on the state of the patient and the characteristics of the lesion. Open and endovascular surgical techniques are complementary, not mutually exclusive, techniques.
authors.affiliation: General Surgery Service, Hospital Universitario de Salamanca, Universidad de Salamanca, Salamanca, Spain. ediazreques@aecirujanos.es
authors.forename: Eduardo
authors.initials: E
authors.lastname: Díaz
authors.forename: Francisco S
authors.initials: FS
authors.lastname: Lozano
authors.forename: Santiago
authors.initials: S
authors.lastname: González
authors.forename: José A
authors.initials: JA
authors.lastname: Alcázar
authors.forename: José A
authors.initials: JA
authors.lastname: Torres
authors.forename: José Ramon
authors.initials: JR
authors.lastname: Gónzalez-Porras
authors.forename: Alberto
authors.initials: A
authors.lastname: Gómez-Alonso
mesh_terms: D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery / Q000628:therapy*; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery / Q000628:therapy*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004621:Embolization, Therapeutic; D016984:Enterococcus faecium / Q000302:isolation & purification; D006801:Humans; D008297:Male; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D008875:Middle Aged; D018579:Patient Selection; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures
chemical_list: D000900:Anti-Bacterial Agents