A Case of Superior Mesenteric Artery Embolism, Treated by Per─catheter Aspiration of the Thrombus

Abstract

Early diagnosis and appropriate treatment of superior mesenteric artery (SMA) embolism remains a clinical challenge. Early revascularization, whether by the endovascular or surgical approach, holds the key to the best outcome. A 75-year-old man with permanent atrial fibrillation, diabetes mellitus and hypertension was admitted to our hospital with a history of acute abdominal pain. Enhanced CT revealed SMA embolism. We attempted endovascular therapy first, and succeeded in complete revascularization without any complications. Per-catheter thrombectomy (aspiration of the thrombus) is a promising option for the treatment of SMA embolism.