A 6.5-cm pseudoaneurysm of the superior mesenteric artery managed by primary surgical repair
| Autor: | William Loan, Bernard Lee, Michael Mullan, Bobby V. M. Dasari, Louis L. Lau |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
Asymptomatic Pseudoaneurysm Aneurysm Mesenteric Artery Superior medicine.artery Medicine Humans Radiology Nuclear Medicine and imaging cardiovascular diseases Superior mesenteric artery Surgical repair business.industry Suture Techniques General Medicine Middle Aged medicine.disease SMA Thrombosis Surgery Treatment Outcome cardiovascular system Female Radiology Presentation (obstetrics) medicine.symptom Cardiology and Cardiovascular Medicine business Tomography X-Ray Computed Vascular Surgical Procedures Aneurysm False |
| Zdroj: | Vascular. 21(1) |
| ISSN: | 1708-5381 |
| Popis: | Superior mesenteric artery (SMA) aneurysms are rare but associated with significant mortality (25–40%) when complicated by rupture or thrombosis. Symptomatic SMA aneurysms, asymptomatic aneurysms of ≥2 cm size and pseudoaneurysms need intervention. We report a case of a 6.5-cm symptomatic SMA aneurysm managed by open surgical repair. At intraoperative exploration, the aneurysm was recognized to be a pseudoaneurysm with a narrow neck (1 mm defect in the native vessel) and was dealt by primary repair. Clinical presentation, the role of radiological investigations and management are discussed. Detailed preoperative assessment of the anatomical characters is essential in planning the intervention for SMA aneurysms. The required information can be obtained by selective interventional angiogram or computed tomographic angiogram with three-dimensional reconstruction. Multi-institutional prospective databases might provide better evidence regarding the timing of intervention, treatment modality, postinterventional follow-up and surveillance of patients with mesenteric aneurysms. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|