Superior Mesenteric Artery Aneurysm Due to Chronic Aortic Dissection

Abstract

Superior mesenteric artery aneurysm has been anecdotally reported as a rare cause of epigastric pain. A 59-year-old woman was presented to our department because of epigastric pain for 2 weeks. DeBakey type I aortic dissection had been treated with Benthall procedure 3 years before the last admission. We successfully treated our patient with percutaneous endovascular stent placement instead of surgical operation. The use of endovascular techniques to manage superior mesenteric artery aneurysm should be considered in high risks patients

Keywords

• Aneurysm, Mesenteric artery, Aortic dissection

Kronik Aort Diseksiyonuna Bağlı Superior Mezenterik Arter Anevrizması

Abstract

Epigastrik ağrının sebepleri arasında superior mezenterik arter anevrizması nadir olarak bildirilmiştir. Ellidokuz yaşında kadın hasta 2 haftadır olan epigastrik ağrısı nedeniyle kliniğimize başvurdu. Hastanın hikayesinde 3 yıl once DeBakey tip I aortic diseksiyonu nedeniyle benthall prosedürü uygulandığı öğrenildi. Bizde hastamıza cerrahi operasyona gerek kalmadan başarıyla endovasküler stent uyguladık. Özellikle yüksek riskli hastalarda superior mezenterik arter anevrizmasının tedavisinde endovasküler tedavi seçeneği öncelikli olarak düşünülmelidir.

Keywords

• Anevrizma, Mezenterik arter, Aortic disseksiyon

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