title: Spontaneous superior mesenteric artery dissection: report of 2 patients and review of management recommendations.
abstract: Spontaneous superior mesenteric artery dissection is rare and presents with variable symptomatology. Optimal treatment depends on the presentation; asymptomatic patients can be managed expectantly. Endoluminal intervention or open reconstruction is warranted in patients with persistent symptoms or intestinal ischemia. As more of these patients are identified with increasing utilization of computed tomography (CT), our understanding of the pathophysiology and best treatment will improve.
authors.affiliation: Vascular Surgery, University of Kentucky, Lexington, KY 40536, USA.
authors.forename: Robert
authors.initials: R
authors.lastname: Carter
authors.forename: Shane
authors.initials: S
authors.lastname: O'Keeffe
authors.forename: David J
authors.initials: DJ
authors.lastname: Minion
authors.forename: Ehab E
authors.initials: EE
authors.lastname: Sorial
authors.forename: Eric D
authors.initials: ED
authors.lastname: Endean
authors.forename: Eleftherios Sarantis
authors.initials: ES
authors.lastname: Xenos
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000784:Aortic Dissection / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D057510:Endovascular Procedures / Q000295:instrumentation; D005260:Female; D006801:Humans; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D012501:Saphenous Vein / Q000637:transplantation*; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D058017:Vascular Grafting