Spontaneous Isolated Superior Mesenteric Arterial Dissection Treated with a Coronary Covered Stent: A Case Report

Abstract

Spontaneous isolated dissection of the superior mesenteric artery is rare with a wide spectrum of clinical symptoms. The management of isolated dissections mainly depends on the clinical symptomatology and imaging presentation. This case report describes a 51-year-old male presenting with persistent abdominal pain. Computed tomography angiography revealed an isolated superior mesenteric arterial dissection associated with severe true lumen stenosis and thrombosed false lumen with an ulcer-like projection. Definitive treatment was performed with a coronary covered stent to reopen the true lumen and completely exclude the false lumen.

Keywords

• dissection
• superior mesenteric artery
• covered stent
• computed tomography angiography
• outcome