Successful Management of the Superior Mesenteric Artery Occlusion in 86-Year-Old Female: Case Report
| Autor: | Marko Boban, Boris Car, Saša Schmidt, Tomislav Krpan, Tomislav Krčmar, Diana Delić-Brkljačić, Petar Brkić, Milan Vukelić |
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| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: | |
| Zdroj: | Acta clinica Croatica Volume 52. Issue 2. |
| ISSN: | 1333-9451 0353-9466 |
| Popis: | 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, longterm 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. Kronična ishemija gornje mezenteričke arterije obično predstavlja klinički asimptomatsku pojavu difuznog aterosklerotskog procesa. Trenutno u pogledu medicine zasnovane na dokazima ne postoje jasne preporuke o korisnosti pristupa rane revaskularizacije prema terapiji antitrombocitnim lijekovima ili statinima. Na drugoj strani, studije učestalosti uz dugotrajno praćenje operiranih bolesnika su kroz literaturu oskudno zastupljene. Akutizacija kronične ishemije obično ima vrlo ozbiljne posljedice s visokom stopom smrtnosti, pa veća klinička pozornost uza što raniju dijagnostiku i pravodobnu terapijsku intervenciju predstavlja potencijalno spasonosni oblik liječenja. Prikazan je slučaj 86-godišnjakinje koja se javila u hitnu službu zbog akutizirane aterosklerotske okluzije gornje mezenteričke arterije. Bolesnica je hitno operirana uz primjenu aorto-mezenteričke prstenaste proteze. Poslijeoperacijski tijek bio je uredan, bez komplikacija, te je bolesnica povratila oko 10 kg u slijedećih nekoliko mjeseci. |
| Databáze: | OpenAIRE |
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