Superior mesenteric artery dissection with prolonged abdominal angina treated by laparotomy, endarterectomy, patch angioplasty, and retrograde open mesenteric stenting: a case report
Abstract Background Most patients with isolated superior mesenteric artery (SMA) dissection are successfully managed conservatively. However, some patients require more invasive treatment. Case presentation We herein describe a 45-year-old man with isolated SMA dissection. He initially underwent con...
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| Language: | English |
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Japan Surgical Society
2019-10-01
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| Series: | Surgical Case Reports |
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| Online Access: | http://link.springer.com/article/10.1186/s40792-019-0736-0 |
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| author | Shinichi Tanaka Atsushi Fukuda Eisuke Kawakubo Takuya Matsumoto |
| author_facet | Shinichi Tanaka Atsushi Fukuda Eisuke Kawakubo Takuya Matsumoto |
| author_sort | Shinichi Tanaka |
| collection | DOAJ |
| description | Abstract Background Most patients with isolated superior mesenteric artery (SMA) dissection are successfully managed conservatively. However, some patients require more invasive treatment. Case presentation We herein describe a 45-year-old man with isolated SMA dissection. He initially underwent conservative treatment. However, because of persistent abdominal angina, we considered the need for surgical revascularization. He was successfully treated by endarterectomy, patch angioplasty, and retrograde open mesenteric stenting. The abdominal angina was stabilized thereafter. Conclusions The combination of endarterectomy, patch angioplasty, and retrograde open mesenteric stenting is useful for isolated SMA dissection, and long patency can be expected for some patients. |
| format | Article |
| id | doaj-art-8757dcef29e24ba69520fe46bdea840e |
| institution | Kabale University |
| issn | 2198-7793 |
| language | English |
| publishDate | 2019-10-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-8757dcef29e24ba69520fe46bdea840e2025-08-20T03:33:50ZengJapan Surgical SocietySurgical Case Reports2198-77932019-10-01511510.1186/s40792-019-0736-0Superior mesenteric artery dissection with prolonged abdominal angina treated by laparotomy, endarterectomy, patch angioplasty, and retrograde open mesenteric stenting: a case reportShinichi Tanaka0Atsushi Fukuda1Eisuke Kawakubo2Takuya Matsumoto3Division of Vascular Surgery, Saiseikai Karatsu HospitalDivision of Vascular Surgery, Saiseikai Karatsu HospitalDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu UniversityDepartment of Vascular Surgery, Graduate School of Medical Sciences, International University of Health and WelfareAbstract Background Most patients with isolated superior mesenteric artery (SMA) dissection are successfully managed conservatively. However, some patients require more invasive treatment. Case presentation We herein describe a 45-year-old man with isolated SMA dissection. He initially underwent conservative treatment. However, because of persistent abdominal angina, we considered the need for surgical revascularization. He was successfully treated by endarterectomy, patch angioplasty, and retrograde open mesenteric stenting. The abdominal angina was stabilized thereafter. Conclusions The combination of endarterectomy, patch angioplasty, and retrograde open mesenteric stenting is useful for isolated SMA dissection, and long patency can be expected for some patients.http://link.springer.com/article/10.1186/s40792-019-0736-0Superior mesenteric arteryDissectionThromboendarterectomyStent |
| spellingShingle | Shinichi Tanaka Atsushi Fukuda Eisuke Kawakubo Takuya Matsumoto Superior mesenteric artery dissection with prolonged abdominal angina treated by laparotomy, endarterectomy, patch angioplasty, and retrograde open mesenteric stenting: a case report Surgical Case Reports Superior mesenteric artery Dissection Thromboendarterectomy Stent |
| title | Superior mesenteric artery dissection with prolonged abdominal angina treated by laparotomy, endarterectomy, patch angioplasty, and retrograde open mesenteric stenting: a case report |
| title_full | Superior mesenteric artery dissection with prolonged abdominal angina treated by laparotomy, endarterectomy, patch angioplasty, and retrograde open mesenteric stenting: a case report |
| title_fullStr | Superior mesenteric artery dissection with prolonged abdominal angina treated by laparotomy, endarterectomy, patch angioplasty, and retrograde open mesenteric stenting: a case report |
| title_full_unstemmed | Superior mesenteric artery dissection with prolonged abdominal angina treated by laparotomy, endarterectomy, patch angioplasty, and retrograde open mesenteric stenting: a case report |
| title_short | Superior mesenteric artery dissection with prolonged abdominal angina treated by laparotomy, endarterectomy, patch angioplasty, and retrograde open mesenteric stenting: a case report |
| title_sort | superior mesenteric artery dissection with prolonged abdominal angina treated by laparotomy endarterectomy patch angioplasty and retrograde open mesenteric stenting a case report |
| topic | Superior mesenteric artery Dissection Thromboendarterectomy Stent |
| url | http://link.springer.com/article/10.1186/s40792-019-0736-0 |
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