title: A case report of aneuysmectomy after thrombo-intimectomy for spontaneous isolated superior mesenteric artery dissection.
abstract: A 53 year-old man was admitted with acute onset of severe abdominal pain, and we performed emergent thrombectomy and intimectomy for acute, complete occlusion of superior mesenteric artery (SMA) due to its spontaneous dissection. However, 4 months later the operated part of the SMA enlarged due to aneurysm and the patient was treated by aneuysmectomy and iliac-mesenteric bypass using a saphenous vein. Aggressive treatment such as surgical or endovascular procedure is necessary for severe ischemia due to SMA dissection.
authors.affiliation: Department of Cardiovascular Surgery, Fukushima Medical University, School of Medicine, Fukushima, Fukushima, Japan.
authors.forename: Hirono
authors.initials: H
authors.lastname: Satokawa
authors.forename: Yuki
authors.initials: Y
authors.lastname: Seto
authors.forename: Akihiro
authors.initials: A
authors.lastname: Yamamoto
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Yokoyama
authors.forename: Michihiko
authors.initials: M
authors.lastname: Kogure
authors.forename: Ohtani
authors.initials: O
authors.lastname: Satoshi
authors.forename: Mitsukazu
authors.initials: M
authors.lastname: Gotoh
keywords: dissection; superior mesenteric artery; surgery
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