Japanese Journal of Vascular Surgery
Online ISSN : 1881-767X
Print ISSN : 0918-6778
Clinical Study of Spontaneous Isolated Superior Mesenteric Artery Dissection
Hirohito IshiiKunihide NakamuraEisaku NakamuraMasakazu MatsuyamaKatsuhiko NiinaKazushi Kojima
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JOURNAL OPEN ACCESS

2009 Volume 18 Issue 6 Pages 609-613

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Abstract

Objectives: Previous reports on spontaneous isolated superior mesenteric artery (SMA) dissection have failed to achieved consensus about optimal therapy.
Methods: Seven patients (1 woman) with a mean age of 55 (39-82) years were reviewed, received conservative therapy for isolated SMA dissection between October 2006 and November 2008.
Results: All patients had severe abdominal pain, but since none of them had signs of peritoneal irritation, we selected conservative therapy. Five patients were hospitalized and treated conservatively by hypotensive therapy, anticoagulation, and administration of prostaglandin E1. No patient had progression of the lesion during follow-up. Four patients underwent repeat CT, which showed a decrease or disappearance of the false lumen, and there was no aneurysmal change.
Conclusion: Conservative treatment was successful in all 7 patients with isolated SMA dissection. Based on our experience, patients without acute intestinal ischemia and aneurysmal changes can be treated conservatively.

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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。
https://creativecommons.org/licenses/by-nc-sa/4.0/deed.ja
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