| A case of successful percutaneous stenting in spontaneous isolated dissection of the superior mesenteric artery |
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Jin Kwang Lee, Tae Yeop Jeong, You Sun Kim, Soo Hyung Ryu, Jung Whan Lee, Jeong Seop Moon, Dong Il Gwon |
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경희대학교 의과대학 순환기내과학교실 |
| 증례 : 자발적 상장간막동맥박리에서 시행한 경피경관적 스텐트삽입술 1예 |
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이진광, 정태엽, 김유선, 류수형, 이정환, 문정섭, 권동일 |
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| Abstract |
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Spontaneous, isolated dissection of the superior mesenteric artery (SMA) not associated with aortic dissection is a rare occurrence and is a cause of acute mesenteric ischemia. Early diagnosis is critical for a good outcome in this disease, because mortality is significant once bowel infarction has occurred. Because of the unreliability of the clinical symptoms and signs of isolated SMA dissection, various imaging modalities, including ultrasonography, contrast-enhanced computerized tomography (CT), and magnetic resonance angiography, are crucial to making an early diagnosis. The mainstay of treatment of isolated dissection of the SMA has been surgery. Recently, promising results have been reported with stenting in this disease. An 80-year-old male presented with postprandial epigastric pain, and isolated dissection of the SMA was shown on abdominal CT scan. After percutaneous stent placement, his symptoms were remarkably improved. We report a case of spontaneous isolated dissection of the SMA which was successfully treated by stent placement, along with a review of the literature. |
| Key Words:
Mesenteric vascular occlusion; Aneurysm, dissecting; Mesenteric artery, superior; Stent |
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