Treatment of Spontaneous Superior Mesenteric Artery Dissection

Abstract

Spontaneous isolated superior mesenteric artery dissection is a rare cause of acute mesenteric ischemia. The therapeutic options are observation, medical treatment, surgery, or endovascular stentting. We present a case report of acute mesenteric ischemia due to spontaneous dissection of the superior mesenteric artery, which was successfully treated by percutaneous stent placement with a review of literature.

Keywords

• Mesenteric ischemia,endovascular procedures,stents

Spontan Superiyor Mezenter Arter Diseksiyonunun Tedavisi

Abstract

Spontan izole superiyor mezenter arter diseksiyonları, akut mezenter iskemisinin nadir nedenleridir. Tedavi seçenekleri izlemden, ilaç tedavisi, cerrahi ve endovasküler stentlemeye kadar değişebilmektedir. Superiyor mezenterik arter diseksiyonunun neden olduğu akut mezenterik iskemi olgusunun perkütan stent yerleştirilmesi ile başarılı tedavisiyle literatürü gözden geçirdik.

Keywords

• Mezenter iskemisi,endovasküler işlemler,stent

References

1. 1. Suzuki S, Furui S, Kohtake H, Sakamoto T, Yamasaki M, Furukawa A, et al. Isolated dissection of the superior mesenteric artery: CT findings in six cases. Abdom Imaging 2004;29:153-7.
2. 2. Morris JT, Guerriero J, Sage JG, Mansour MA. Three isolated superior mesenteric artery dissections: update of previous case reports, diagnostics, and treatment options. J Vasc Surg 2008;47:649-53.
3. 3. Ko SH, Hye R, Frankel DA. Management of spontaneous isolated visceral artery dissection. Ann Vasc Surg 2015;29:470-4.
4. 4. Lu PH, Zhang XC, Wang LF, Shi HB. Percutaneous endovascular reconstruction with bare stent implantation for isolated superior mesenteric artery dissection. Vasc Endovascular Surg 2014;48:406-11.
5. 5. Gobble RM, Brill ER, Rockman CB, Hecht EM, Lamparello PJ, Jacobowitz GR, et al. Endovascular treatment of spontaneous dissections of the superior mesenteric artery. J Vasc Surg 2009;50:1326-32.
6. 6. Zhang X, Sun Y, Chen Z, Li X. Therapeutic regimen options for isolated superior mesenteric artery dissection. Vasc Endovascular Surg 2012;46:277-82.