2021 Volume 30 Issue 2 Pages 101-107
The superior mesenteric artery (SMA) is the most important artery in aortic branches beyond the left subclavian artery. Rapid diagnosis and proper intervention are mandatory for its acute ischemia. There exist several pathological conditions belong to, or related to the SMA ischemia; SMA embolism, chronic mesenteric ischemia, SMA-malperfusion by acute aortic dissection, isolated superior mesenteric artery dissection, segmental arterial mediolysis, non-occlusive mesenteric ischemia, mesenteric venous thrombosis, etc. In 2017, guidelines for management of the diseases of mesenteric arteries and veins were published from the European Society of Vascular Surgery (ESVS), which was translated to Japanese. And guidelines for management of descending thoracic aorta diseases were also published from the ESVS. The present lecture is described along these guidelines.
