Surgical Treatment of Superior Mesenteric Artery Dissecting Aneurysm and Simultaneous Celiac Artery Compression

Solis, Maurice M.; Ranval, Tim J.; McFarland, David R.; Eidt, John F.

doi:10.1007/bf02002130

Cited by 133 publications

(82 citation statements)

References 9 publications

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“…According to the literature, surgery is the principal method of treating this disease (10,11). Various surgical techniques have been reported, such as resection of the affected arterial segment with graft interposition (11,12), reimplantation of SMA on the aorta (10), intimectomy (13), right gastroepiplotic artery bypass (14), and simple arteritomy with thrombectomy (7).…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Dissection of the Superior Mesenteric Artery in Four Cases Treated with Anticoagulation Therapy

et al. 2004

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Reports of spontaneous dissection of the superior mesenteric artery are rare. Diagnosis in the acute stage has been considered difficult, but we encountered four cases from November 1998 to November 2001. All four cases were diagnosed using abdominal CT scanning in the acute stage and could be treated conservatively. All patients were provided anticoagulation therapy upon fasting. The mean period of continuous abdominal pain was 10.2 days, the mean period of fasting was 27.2 days, and the mean number of in-hospital days was 44.

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Section: Discussionmentioning

confidence: 99%

Spontaneous Dissection of the Superior Mesenteric Artery in Four Cases Treated with Anticoagulation Therapy

et al. 2004

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“…In our study, we found ISSMAD located within 20 mm proximally and distally to SMA curvature, which is consistent with previous study. 12 SMA curvature is the area where hemodynamic force changes. SMA curvature is exposed to shearing force because this area forms the border zone between the fixed retropancreatic portion and the more distal mobile mesenteric portion, analogous to what was seen at the ligamentum arteriosum during rapid deceleration injury such as aortic dissection.…”

Section: Discussionmentioning

confidence: 99%

Value of Multi-detector CT in Detection of Isolated Spontaneous Superior Mesenteric Artery Dissection

Zhao

et al. 2017

cmsj

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Objective To investigate the role of multi-detector computed tomography (CT) in the diagnosis and classification of isolated spontaneous superior mesenteric artery dissection (ISSMAD).Methods From July 2012 to December 2016, 30 consecutive patients with ISSMAD underwent CT scan at least two times. We retrospectively summarized the clinical characteristics and CT findings of them. The stenosis ratio of true lumen was compared between the patients without bowel ischemia and ones with bowel ischemia.Results There were 5 cases of type I ISSMAD, 14 cases of type Ⅱ, 1 case of type Ⅲ, 7 cases of type Ⅳ and 3 cases of type V. Intestinal ischemia occurred in 5 patients. The stenosis ratio of true lumen in the patients without bowel ischemia was lower than that with bowel ischemia (45.6% vs. 76.0%, t=-14.5, P=0.000). Five patients with intestinal ischemia underwent superior mesenteric artery stenting and others received conservative therapy. The abdominal pain was alleviated for all the patients after treatment.

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“…The etiology of celiac trunk spontaneous dissection has not been defined, but atherosclerosis, uncontrolled hypertension, pregnancy, stress, fibromuscular dysplasia and cystic medial necrosis, as well as other congenital disorders of the vascular walls, are believed to be associated with its occurrence [5][6][7][8][9][10] .…”

Section: Discussionmentioning

confidence: 99%

“…Risk factors include atherosclerotic disease, hypertension, fribromuscular dysplasia, and stress, among others [5][6][7][8][9][10] . The exact etiology of dissection, however, remains unclear 4,5,11,12 .…”

Section: Introductionmentioning

confidence: 99%

Dissecção espontânea do tronco celíaco: qual a melhor abordagem terapêutica?

et al. 2013

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Spontaneous dissection of visceral arteries is a rare event. Sudden abdominal pain in the epigastrium is the most frequent symptom. Advances in imaging techniques have made it easier to diagnose this event, increasing the incidence of visceral artery dissection. Conservative clinical treatment, surgical revascularization and endovascular repair are the three treatment options available. We describe two cases of patients with spontaneous dissection of the celiac trunk that received different treatments based on their clinical presentation and imaging studies. We also conducted a review of studies about this condition in the literature.Keywords: celiac trunk; spontaneous dissection; endovascular. ResumoA dissecção espontânea das artérias viscerais é um evento relativamente raro. Dor abdominal súbita no epigástrio é o sintoma mais frequentemente manifestado pelos pacientes. O avanço das técnicas de exames de imagem possibilitou o diagnóstico deste evento com maior facilidade, aumentando a incidência das dissecções das artérias viscerais. O tratamento clínico conservador, a revascularização cirúrgica, e a terapia endovascular são as três possíveis opções terapêuticas. Neste artigo, relatamos os casos de dois pacientes com dissecção espontânea do tronco celíaco conduzidos de formas diversas, de acordo com a apresentação clínica e exames de imagem, além de realizar uma revisão bibliográfica sobre esta doença.Palavras-chave: tronco celíaco; dissecção espontânea; endovascular.

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Surgical Treatment of Superior Mesenteric Artery Dissecting Aneurysm and Simultaneous Celiac Artery Compression

Cited by 133 publications

References 9 publications

Spontaneous Dissection of the Superior Mesenteric Artery in Four Cases Treated with Anticoagulation Therapy

Spontaneous Dissection of the Superior Mesenteric Artery in Four Cases Treated with Anticoagulation Therapy

Value of Multi-detector CT in Detection of Isolated Spontaneous Superior Mesenteric Artery Dissection

Dissecção espontânea do tronco celíaco: qual a melhor abordagem terapêutica?

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