Annals of Vascular Diseases
Online ISSN : 1881-6428
Print ISSN : 1881-641X
ISSN-L : 1881-641X
Selection from the Journal of Japanese College of Angiology 2018
Long-Term Outcomes of Spontaneous Isolated Superior Mesenteric Artery Dissection
Hirono Satokawa Shinya TakaseHiroki WakamatsuYuki SetoHiroyuki KurosawaAkihiro YamamotoTsuyoshi FujimiyaKeiichi IshidaHitoshi Yokoyama
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2019 Volume 12 Issue 4 Pages 456-459


Spontaneous isolated dissection of the superior mesenteric artery (SMAD) is not still well known. We retrospectively analyzed our 30 patients with SMAD to elucidate the treatment strategy and long-term follow-up outcomes. Due to severe abdominal symptom we performed a stents deployment and surgical reconstructive surgery for each one case. Anerysmectomy and bypass surgery was performed for a patient with aneurysmal change. Other 27 patients were managed conservatively. SMAD patients had only two vascular events (renal infarction and graft occlusion), and showed good prognosis for 6–146 (mean 69) months follow-up. We found that there is a few SMAD patients necessary of invasive management at acute phase and that most patients are safely conservatively treated with good prognosis. (This is a translation of J Jpn Coll Angiol 2018; 58: 195–199.)

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この記事はクリエイティブ・コモンズ [表示 - 非営利 - 継承 4.0 国際]ライセンスの下に提供されています。
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