Endovascular Stent–Graft Repair of a Symptomatic Superior Mesenteric Artery Aneurysm

Schweigert, Michael; Adamus, R.; Stadlhuber, Rudolf J.; Stein, Hubert J.

doi:10.1016/j.avsg.2011.02.034

Cited by 26 publications

(20 citation statements)

References 14 publications

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“…In fact, the true incidence of main trunk SMA aneurysms is unknown but they are estimated to number between 5.5-8.6% of all splanchnic artery aneurysms. Side branch aneurysms are even rarer, as did our patient [1][2][3][4][5][6][7][8].…”

Section: Discussionsupporting

confidence: 55%

“…The most common symptom associated with SMA aneurysms is abdominal or back pain, with a frequency of 60 to 70% of patients [5][6][7][8]11]. Rupture risk is higher than other splanchnic aneurysms (38% to 50%).…”

Section: Discussionmentioning

confidence: 99%

“…Endovascular techniques, ranging from trans-catheter embolization to stent grafting, have been used to treat SMA aneurysms, even in the setting of rupture with hemodynamic instability [1,4,6,7,9]. These techniques offer advantages by virtue of their minimally invasive nature and potential for preservation of in-line flow.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Ruptured Mycotic Superior Mesenteric Artery Aneurysms and Infective Endocarditis

Rim¹,

Tlili²,

Fares³

et al. 2019

JCR

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Background: Aneurysms of the superior mesenteric artery (SMA) and its branches are uncommon complication of infective endocarditis (IE) and have a high rate of rupture and mortality. Case Report: A 50-year-old female was diagnosed and treated for IE with good initial evolution. During pre-surgery evaluation, the patient developed hemorrhagic shock. Computed tomography angiogram revealed hemoperitoneum and contrast extravasations due to rupture of aneurysm originating from an SMA's branch. The patient was transferred for urgent surgery. On laparotomy large, inflamed, pulsatile mesenteric mass with free blood in the pelvis was found. Evidence of necrotic small bowel was detected and resection of 25 cm with ileostomy was performed and surgery for restoring bowel continuity after ileostomy was programmed three months later with good results. Conclusion: Although main trunk and superior mesenteric artery (SMA) branch aneurysms account for only 5.5% of all visceral artery aneurysms, early identification and expedient management are very important given an associated 38-50% rupture rate and 30% mortality.

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Section: Discussionsupporting

confidence: 55%

Section: Discussionmentioning

confidence: 99%

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Ruptured Mycotic Superior Mesenteric Artery Aneurysms and Infective Endocarditis

Rim¹,

Tlili²,

Fares³

et al. 2019

JCR

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show abstract

“…17) outcomes comParIng endoVascular Vs. surgIcal treatment A 20% to 70% mortality rate is reported with the rupture of a VAA depending on the location and size. 18) Surgery in the setting of a rupture is also associated with high morbidity and lethality. For this reason, it is generally accepted that these lesions should be treated in an elective manner whenever recognized.…”

Section: Future Directionmentioning

confidence: 99%

Visceral Artery Aneurysms and Pseudoaneurysms—Should They All be Managed by Endovascular Techniques?

Córdova

Sumpio

2013

Annals of Vascular Diseases

134

142

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“…There have been some reports of successful endovascular therapy for SMA aneurysms and dissections using endovascular stent graft implantation. 6,7 However, endovascular stent graft repair of a ruptured SMA aneurysm has not been reported in the literature as far as we know. Herein, we report a case of a ruptured SMA aneurysm that was successfully excluded with stent grafts.…”

mentioning

confidence: 99%

Endovascular Stent Graft Repair of a Ruptured Superior Mesenteric Artery Aneurysm

Zou

Jiao

Jiang

et al. 2016

International Surgery

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A ruptured aneurysm of the superior mesenteric artery (SMA) is very rare. In recent years, there have been some reports of successful endovascular therapy of SMA aneurysms. However, endovascular stent graft repair of a ruptured SMA aneurysm has not been reported previously. We report on a 50-year-old man with a ruptured aneurysm of the proximal SMA. Using an endovascular approach, the aneurysm was initially excluded with 2 stent grafts. Two weeks following the first procedure, computed tomography angiography revealed a proximal endoleak, which was treated with another stent graft. The endovascular stent graft repair finally resulted in total exclusion of the ruptured aneurysm. Patency of the SMA was maintained and no ischemic complications occurred.

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Endovascular Stent–Graft Repair of a Symptomatic Superior Mesenteric Artery Aneurysm

Cited by 26 publications

References 14 publications

Ruptured Mycotic Superior Mesenteric Artery Aneurysms and Infective Endocarditis

Ruptured Mycotic Superior Mesenteric Artery Aneurysms and Infective Endocarditis

Visceral Artery Aneurysms and Pseudoaneurysms—Should They All be Managed by Endovascular Techniques?

Endovascular Stent Graft Repair of a Ruptured Superior Mesenteric Artery Aneurysm

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