Successful management of the superior mesenteric artery occlusion in 86-year-old female: case report.
Chronic superior mesentery ischemia often presents a clinically asymptomatic diffuse atherosclerotic process. There are no compelling recommendations on the benefits of early revascularization strategy besides antithrombotic prophylaxis and statin treatment. Conversely, long-term prevalence of symptomatic cases in surgical patient cohorts is rarely reported in the literature. Acutization of chronic ischemia has a severe clinical course, so timely recognition may be considered lifesaving. We present a case of an 86-year-old woman hospitalized for acutized atherosclerotic narrowing of superior mesenteric artery. The patient was urgently operated on by aorto-mesenteric ring prosthesis revascularization. Postoperative course was uneventful and the patient regained 10 kilograms in the next few months.
Clinical Department of Internal Medicine, Sestre milosrdnice University Hospital Center, Zagreb, Croatia. marcoboban@yahoo.com
Marko
M
Boban
Boris
B
Car
Sasa
S
Schmidt
Tomislav
T
Krpan
Tomislav
T
Krcmar
Diana
D
Delić-Brkljacić
Petar
P
Brkić
Milan
M
Vukelić
D000369:Aged, 80 and over; D001807:Blood Vessel Prosthesis; D005260:Female; D006801:Humans; D017538:Mesenteric Artery, Superior; D008641:Mesenteric Vascular Occlusion / Q000601:surgery*; D016896:Treatment Outcome