Rapidly Aggravated Dissecting Flap by Angiography during Percutaneous Stent Placement for Acute Isolated Superior Mesenteric Artery Dissection
نویسندگان
چکیده
Acutely aggravated dissecting flap and consequent occlusion of the superior mesenteric artery (SMA) by simple contrast passage during initial angiography for percutaneous stent placement is a uncommon event, which usually is not reported. After analysis of many factors that underlie development of such complications, we present herein one case of successful treatment of isolated SMA dissection and its complications with favorable outcomes during 25 months follow-up after percutaneous stent placement.
منابع مشابه
Stent Placement for Spontaneous Isolated Superior Mesenteric Artery Dissection via Radial Approach with Intravascular Ultrasound Assistance
Spontaneous isolated superior mesenteric artery (SMA) dissection was a sporadically reported vascular event, but an increasing number of case reports have been published in recent years. The optimal therapy opinions are widely divided. Despite there still being no consensus on the best treatment, an increasing number of patients in recent years have been reported to be treated successfully by n...
متن کاملIsolated Spontaneous Dissection of the Superior Mesenteric Artery: Percutaneous Stent Placement in Two Patients
We report the case of a 57-year old man suffering from acute abdominal cramps. Abdominal computed tomography (CT) scanner revealed an isolated dissection of the superior mesenteric artery. The pain decreased within a few days under conservative treatment and monitoring by angioscans showed a stabilization of the dissection. This clinical case report is accompanied by a literature review on this...
متن کاملSuperior mesenteric artery spontaneous and isolated dissection diagnosed by using MDCTA.
We report the case of a 49-year-old man admitted to our Institute because he suffered acute abdominal pain induced by eating. Sonography don't revealed pathological findings. Then underwent a multi-detector row computed tomography angiography (MDCTA) that revealed an intimal flap separating true and false lumens that was located 2 cm from the origin of the superior mesenteric artery (SMA) and w...
متن کاملEndovascular Stent Grafting via the Left Radial Artery for a Spontaneous Isolated Dissecting Rupture of the Superior Mesenteric Artery
A 56-year-old man presented with abrupt onset epigastric and back pain for 4 hours. Computed tomography angiography (CTA) revealed a dissection at the proximal part of the superior mesenteric artery (SMA) without a limitation in distal flow or bowel ischemia (Fig. 1A). However, an 1-week follow-up CTA showed progression of the SMA dissection down to the distal jejunal branch (Fig. 1B). Thus, we...
متن کاملIsolated Dissection of Superior Mesenteric Artery
Isolated dissection of the superior mesenteric artery is a rare occurrence with a hitherto unknown exact etiology. Patients may present with abdominal symptoms or hemodynamic instability.We herein present a case of spontaneous isolated superior mesenteric artery dissection in a 48-year-old man, who was admitted with epigastric pain. Due to an undiagnosed paced rhythm on the electrocardiogram, h...
متن کامل