Superior mesenteric artery aneurysms: Is presence an indication for intervention?

Stone, William M.; Abbas, Maher A.; Cherry, Kenneth J.; Fowl, Richard J.; Gloviczki, Péter

doi:10.1067/mva.2002.125027

Cited by 188 publications

(166 citation statements)

References 6 publications

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“…4,[6][7][8]21 For example, Marone et al have reported that the overall 10-year survival rate after the treatment of VA is 68%. 8 …”

Section: Discussionmentioning

confidence: 99%

“…5 Although SMAA shows few specific symptoms, several reports have revealed that it has a very high risk of rupture and mortality. 4,5 SMAA is commonly located in the proximal part of the SMA, 4,6 which is suitable for endovascular treatment (ET). 7,8 Here, we report a rare case of SMAA associated with Takayasu's arteritis (TA), located in the distal part of the SMA and treated by surgical resection using the mini-laparotomy method.…”

mentioning

confidence: 99%

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Mini-Laparotomy for Superior Mesenteric Artery Aneurysm Due to Takayasu's Arteritis

Matsumoto

Ishizuka

Iso

et al. 2015

International Surgery

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Superior mesenteric artery aneurysm (SMAA) is reported to be the third-most common type of visceral aneurysm (VA), accounting for 5% of all VAs. The etiology of SMAA is commonly thought to be infection, and it usually exists in the proximal part of the superior mesenteric artery, which is suitable for endovascular treatment. We herein report an extremely rare case of the distal part of SMAA caused by Takayasu's arteritis (TA), which was successfully resected using a mini-laparotomy method without impairing the intestinal blood supply. A 51-year-old woman was admitted to our hospital with sustained fever and lower back pain. Physical examination showed that she had a discrepancies in blood pressure between both arms. Contrast-enhanced wholebody computed tomography showed stenosis of the thoracic aorta and an aneurysm located in the distal part of the superior mesenteric artery. The diameter of the aneurysm was 4.5 cm. The aneurysm was resected via 4-cm mini-laparotomy, and the vascularity of the intestine was successfully preserved. The postoperative course was uneventful, and the patient was diagnosed as having TA based on both clinical and pathologic findings. Additional corticosteroid therapy was started to treat the arteritis, and at 3-month followup she was without critical incidents. Mini-laparotomy is a safe and less-invasive approach to treat SMAA, especially when the lesion is located in the distal part of the artery.

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“…4,[6][7][8]21 For example, Marone et al have reported that the overall 10-year survival rate after the treatment of VA is 68%. 8 …”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Mini-Laparotomy for Superior Mesenteric Artery Aneurysm Due to Takayasu's Arteritis

Matsumoto

Ishizuka

Iso

et al. 2015

International Surgery

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“…15 Although diagnosis is difficult, SMA aneurysms have both a rupture risk and a mortality rate of 40 to 50%. [16][17][18] …”

Section: Discussionmentioning

confidence: 99%

Superior mesenteric artery aneurysm in a patient with infective endocarditis

Devon

Miller

2014

CJEM

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Infective endocarditis (IE) is a rare but serious condition. We present a case of endocarditis in a healthy 40-year-old male with no predisposing conditions. His physical examination was suggestive of peripheral microembolization and prompted us to consider the diagnosis of IE and order the appropriate investigations. After treatment, he later presented to the emergency department with abdominal pain, and a superior mesenteric artery aneurysm was discovered. We discuss recent advances in the changing epidemiology and microbiology of IE, review the presentation and diagnosis of IE, and highlight the potential complications of this disease. RÉ SUMÉL'endocardite infectieuse (EI) est une maladie rare mais grave. Il sera ici question d'un cas d'endocardite chez un homme de 40 ans, auparavant en bonne santé et exempt de facteur de pré disposition. L'examen physique é tait é vocateur d'une micro-embolie pé riphé rique, ce qui a incité à envisager le diagnostic d'EI et à procé der à une exploration approprié e. Aprè s le traitement, le patient est revenu au service des urgences pour des douleurs abdominales, et les examens ont ré vé lé la pré sence d'un ané vrisme de l'artè re mé senté rique supé rieure. Nous ferons donc é tat, dans le pré sent article, des changements observé s dans l'é pidé miologie et la microbiologie de cette affection; passerons en revue le tableau clinique de l'EI et le diagnostic; et ferons ressortir les complications possibles de cette maladie. Keywords: endocarditis, fever, Janeway lesions, Staphylococcus aureusInfective endocarditis (IE) is the inflammation of the endocardium and heart valves caused by bacteria or fungi. It is an uncommon condition with an incidence of between 2 and 10 per 100,000 person-years. Despite advances in diagnosis and treatment, it still has a high mortality rate, with in-hospital mortality of 15 to 20% and 1-year mortality of 20 to 30%. Recent prospective studies show that the epidemiology and microbiology of IE are changing over time. There is a higher rate of diagnosis of health care-associated IE and Staphylococcus aureus IE.1 In the emergency department (ED), key points include maintaining an appropriate index of suspicion in patients with risk factors or specific presentations, performing a thorough history and physical examination, and obtaining blood cultures prior to antibiotic administration if possible. Despite being treated for IE, patients can still present to EDs with relapse and delayed complications of IE. CASE REPORTA 40-year-old previously healthy male presented to our ED with a 1-week history of fever and chills and a 2-day history of pain and redness on his right foot. His only medication was ciprofloxacin, which he had been taking for 6 days. This was prescribed for a presumed urinary tract infection based on complaints of dysuria, urinary frequency, and left flank pain on the second day of illness, which had resolved by the time of representation. He had no other infectious symptoms to account for his fever and no recent travel history. ...

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“…Treatment of Superior Mesenteric Artery Aneurysms should be considered regardless of size or symptomatology because of the high mortality risk associated with potential rupture. treatment must be individualized and based on the etiology, size, and anatomic location of the lesion; co-morbid conditions of the patient; and the potential morbidity of the proposed procedure (41,42 The purpose of this book was to present the integrative, basic and clinical approaches based on recent developments in the field of gastroenterology. The most important advances in the pathophysiology and treatment of gastrointestinal disorders are discussed including; gastroesophageal reflux disease (GERD), peptic ulcer disease, irritable bowel disease (IBD), NSAIDs-induced gastroenteropathy and pancreatitis.…”

Section: Superior Mesenteric Artery Aneurysmmentioning

confidence: 99%

Mesenteric Vascular Disease

Oderich¹

2015

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Superior mesenteric artery aneurysms: Is presence an indication for intervention?

Cited by 188 publications

References 6 publications

Mini-Laparotomy for Superior Mesenteric Artery Aneurysm Due to Takayasu's Arteritis

Mini-Laparotomy for Superior Mesenteric Artery Aneurysm Due to Takayasu's Arteritis

Superior mesenteric artery aneurysm in a patient with infective endocarditis

Mesenteric Vascular Disease

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