Superior mesenteric artery aneurysm endovascular repair

Antonio Solano, MD; K. Benjamin Lee, MD; Jesus Porras-Colon, MD; Carlos H. Timaran, MD; Vivek Prakash, MD; Khalil Chamseddin, MD; Melissa L. Kirkwood, MD; M. Shadman Baig, MD

Journal of Vascular Surgery Cases and Innovative Techniques (Sep 2023)

Superior mesenteric artery aneurysm endovascular repair

Antonio Solano, MD,
K. Benjamin Lee, MD,
Jesus Porras-Colon, MD,
Carlos H. Timaran, MD,
Vivek Prakash, MD,
Khalil Chamseddin, MD,
Melissa L. Kirkwood, MD,
M. Shadman Baig, MD

Affiliations

Antonio Solano, MD: Correspondence: Dr Antonio Solano, UT Southwestern Medical Center, Professional Office Building 1, Ste. 620, 5959 Harry Hines Blvd, Dallas, TX 75390-9157; Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX
K. Benjamin Lee, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX
Jesus Porras-Colon, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX
Carlos H. Timaran, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX
Vivek Prakash, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX
Khalil Chamseddin, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX
Melissa L. Kirkwood, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX
M. Shadman Baig, MD: Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX

Journal volume & issue: Vol. 9, no. 3
p. 101227

Abstract

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Superior mesenteric artery aneurysms are rare and associated with high mortality rates in cases of rupture. Current Society for Vascular Surgery guidelines recommend treatment of all superior mesenteric artery aneurysms regardless of size. A 53-year-old woman who was admitted for abdominal pain was found with a 14-cm, ruptured superior mesenteric artery branch aneurysm. Endovascular approach was performed with microvascular plug embolization of a feeding branch and aneurysm sac exclusion with a stent graft. Four months later, the patient demonstrated a 21% regression of the aneurysm and stent patency. Thus, timely diagnosis and treatment of superior mesenteric artery aneurysms with endovascular techniques can reduce potential complications.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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Abstract

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