A Case Report of Aneuysmectomy after Thrombo-Intimectomy for Spontaneous Isolated Superior Mesenteric Artery Dissection

Hirono Satokawa; Yuki Seto; Akihiro Yamamoto; Hitoshi Yokoyama; Michihiko Kogure; Ohtani Satoshi; Mitsukazu Gotoh

doi:10.3400/avd.cr.12.00005

Case Reports

A Case Report of Aneuysmectomy after Thrombo-Intimectomy for Spontaneous Isolated Superior Mesenteric Artery Dissection

Hirono Satokawa, Yuki Seto, Akihiro Yamamoto, Hitoshi Yokoyama, Michihiko Kogure, Ohtani Satoshi, Mitsukazu Gotoh

Author information

Hirono Satokawa
Department of Cardiovascular Surgery, Fukushima Medical University, School of Medicine, Fukushima, Fukushima, Japan
Yuki Seto
Department of Cardiovascular Surgery, Fukushima Medical University, School of Medicine, Fukushima, Fukushima, Japan
Akihiro Yamamoto
Department of Cardiovascular Surgery, Fukushima Medical University, School of Medicine, Fukushima, Fukushima, Japan
Hitoshi Yokoyama
Department of Cardiovascular Surgery, Fukushima Medical University, School of Medicine, Fukushima, Fukushima, Japan
Michihiko Kogure
Department of Regenerative Surgery, Fukushima Medical University, School of Medicine, Fukushima, Fukushima, Japan
Ohtani Satoshi
Department of Regenerative Surgery, Fukushima Medical University, School of Medicine, Fukushima, Fukushima, Japan
Mitsukazu Gotoh
Department of Regenerative Surgery, Fukushima Medical University, School of Medicine, Fukushima, Fukushima, Japan

Keywords: dissection, superior mesenteric artery, surgery

JOURNAL FREE ACCESS

2012 Volume 5 Issue 2 Pages 204-207

DOI https://doi.org/10.3400/avd.cr.12.00005

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Abstract

A 53 year-old man was admitted with acute onset of severe abdominal pain, and we performed emergent thrombectomy and intimectomy for acute, complete occlusion of superior mesenteric artery (SMA) due to its spontaneous dissection. However, 4 months later the operated part of the SMA enlarged due to aneurysm and the patient was treated by aneuysmectomy and iliac-mesenteric bypass using a saphenous vein. Aggressive treatment such as surgical or endovascular procedure is necessary for severe ischemia due to SMA dissection.

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