Treatment of Spontaneous Superior Mesenteric Artery Dissection

Yıl 2017, Cilt: 20 Sayı: 3, 248 - 250, 03.12.2017

Uğur Arslantaş Hayati Eren Süleyman Barutçu Selçuk Pala

Öz

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.

Anahtar Kelimeler

Mesenteric ischemia, endovascular procedures, stents

Spontan Superiyor Mezenter Arter Diseksiyonunun Tedavisi

Öz

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.

Anahtar Kelimeler

Mezenter iskemisi, endovasküler işlemler, stent

Kaynakça

• 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. 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. Ko SH, Hye R, Frankel DA. Management of spontaneous isolated visceral artery dissection. Ann Vasc Surg 2015;29:470-4.
• 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. 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. Zhang X, Sun Y, Chen Z, Li X. Therapeutic regimen options for isolated superior mesenteric artery dissection. Vasc Endovascular Surg 2012;46:277-82.