Isolated dissection of the superior mesenteric artery: a case report and literature review

Mansueto, Pasquale; Sprini, Delia; Carroccio, Antonio; Randazzo, G; D’Alcamo, Alberto; Seidita, Aurelio; Barbiera, F; Murmura, Elena; Accardi, M.

doi:10.4081/itjm.2013.168

Cited by 1 publication

(1 citation statement)

References 38 publications

(39 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A typical MSCT angiography image shows a double-lumen change or a low-density crescent-shaped filling defect in the artery, and a torn intimal flap between the false lumen and the true lumen. Given the limited clinical details available on SIVAD because of its rare occurrence, the therapeutic approach for treatment is still not standardized [ 17 ]. Using CT angiography, Yun et al have classified lesions caused by SMA into the following types based on the cross-sectional and sagittal views: Type I, IIa, IIb, and III [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of isolated abdominal visceral artery dissection with multi-scale spiral computed tomography: a retrospective case series

et al. 2021

J Cardiothorac Surg

View full text Add to dashboard Cite

Background To evaluate the role of multi-slice spiral computed tomography (MSCT) angiography in the diagnosis of spontaneous isolated visceral artery dissection (SIVAD). Methods Twenty-seven patients with abdominal SIVAD were included in the study. The MSCT scans of the patients were subjected to various post-processing techniques to visualize the visceral artery wall. Clinical features including arterial dissection, thrombosis, dissection length, true/false lumen, and complications were recorded. Results Type I, IIa, and IIb SIVADs were observed in 11, 6, and 10 patients, respectively. Superior mesenteric artery (SMA) dissection was the most common (n = 16), followed by abdominal aortic dissection (n = 6), splenic artery dissection (n = 2), renal artery dissection (n = 2), and splenic artery dissection (n = 1). One patient with SMA dissection suffered small intestine ischemia, 1 with splenic artery dissection had splenic infarction, and 1 patient with left renal artery dissection experienced renal infarction. The false lumen was bigger than the true lumen in 20 patients, with 9 patients having thrombus. The true lumen was bigger than the false lumen in 7 patients. Conclusions MSCT angiography is a valuable technique in the diagnosis and treatment of patients with SIVAD. Patients with abdominal pain suspected due to SIVAD should be examined with MSCT angiography for early detection of SIVAD.

show abstract

Section: Introductionmentioning

confidence: 99%

Evaluation of isolated abdominal visceral artery dissection with multi-scale spiral computed tomography: a retrospective case series

et al. 2021

J Cardiothorac Surg

View full text Add to dashboard Cite

show abstract

Isolated dissection of the superior mesenteric artery: a case report and literature review

Cited by 1 publication

References 38 publications

Evaluation of isolated abdominal visceral artery dissection with multi-scale spiral computed tomography: a retrospective case series

Evaluation of isolated abdominal visceral artery dissection with multi-scale spiral computed tomography: a retrospective case series

Contact Info

Product

Resources

About