Open and endovascular treatment for pseudoaneurysms of the superior mesenteric artery.
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.
Díaz
Eduardo
E
General Surgery Service, Hospital Universitario de Salamanca, Universidad de Salamanca, Salamanca, Spain. ediazreques@aecirujanos.es
Lozano
Francisco S
FS
González
Santiago
S
Alcázar
José A
JA
Torres
José A
JA
Gónzalez-Porras
José Ramon
JR
Gómez-Alonso
Alberto
A
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
D000900:Anti-Bacterial Agents