title: Hybrid management of ruptured isolated superior mesenteric artery dissecting aneurysm.
abstract: A 70-year-old woman, with history of asymptomatic isolated superior mesenteric artery (SMA) dissection was admitted for acute abdominal pain. Computed tomography showed ruptured isolated SMA dissection. Endovascular treatment was chosen over surgical repair because of prior abdominal surgeries. Because an angulated SMA trunk and compressed true lumen by the dilated false lumen prevented the insertion of a guidewire into the SMA via the transfemoral artery, transmesenteric approach under laparotomy was selected. After creating a pull-through condition from the SMA to the left brachial artery, a successful stent graft placement with adequate hemostasis was achieved. The aneurysm shrunk remarkably, with no complication at follow-up.
authors: Division of Cardiovascular Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan. y_katsu1027@yahoo.co.jp
authors: Yoshikatsu
authors: Y
authors: Nomura
authors: Masato
authors: M
authors: Yamaguchi
authors: Atsushi
authors: A
authors: Kitagawa
authors: Takuya
authors: T
authors: Okada
authors: Yutaka
authors: Y
authors: Okita
authors: Koji
authors: K
authors: Sugimoto
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000628:therapy*; D017542:Aneurysm, Ruptured / Q000628:therapy*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D057510:Endovascular Procedures; D005260:Female; D006801:Humans; D017538:Mesenteric Artery, Superior; D015607:Stents