Journal of Vascular Surgery Cases and Innovative Techniques (Mar 2017)

Endovascular treatment with flow-diverting stents of symptomatic superior mesenteric artery after dissection aneurysm

  • Giuseppe Baldino, MD,
  • Paolo Mortola, MD,
  • Marta Cambiaso, MD,
  • Alessandro Valdata, MD,
  • Amerigo Gori, MD

DOI
https://doi.org/10.1016/j.jvscit.2016.10.004
Journal volume & issue
Vol. 3, no. 1
pp. 30 – 34

Abstract

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Isolated and spontaneous superior mesenteric artery dissection is a rare cause of acute abdominal pain. Whereas there is widespread consensus on conservative treatment of asymptomatic forms, revascularization would seem indicated in symptomatic complicated cases. A 73-year-old man presented with worsening epigastric pain. A computed tomography scan revealed an isolated and spontaneous superior mesenteric artery dissection with aneurysmal evolution of the false lumen, involving multiple side branches. The postdissection aneurysm was treated by endovascular exclusion with flow-diverting stents. The abdominal pain was completely relieved, and the patient remained asymptomatic at follow-up.