Endovascular Management for Isolated Spontaneous Dissection of the Superior Mesenteric Artery: Report of Two Cases and Literature Review

• Published in: Journal of vascular and interventional radiology Vol. 22; no. 8; pp. 1206 - 1211
• Main Authors: Lim, Eun-Hye, MD, Jung, Sung Woo, MD, Lee, Seung Hwa, MD, Kwon, Bo Sung, MD, Park, Jae Youn, MD, Koo, Ja Seol, MD, Yim, Hyung Joon, MD, Lee, Sang Woo, MD, Choi, Jai Hyun, MD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-08-2011
• Subjects: Aneurysm, Dissecting - diagnostic imaging; Aneurysm, Dissecting - surgery; Angiography; Diagnosis, Differential; Humans; Male; Mesenteric Artery, Superior - diagnostic imaging; Mesenteric Artery, Superior - surgery; Middle Aged; Radiology; Stents; Tomography, X-Ray Computed; superior mesenteric artery; percutaneous transluminal angioplasty; PTA; SMA
• ISSN: 1051-0443; 1535-7732
• DOI: 10.1016/j.jvir.2011.01.446

Abstract The clinical course and treatment strategies of isolated superior mesenteric artery (SMA) dissection have not been fully investigated. Two cases of uncontrolled abdominal pain caused by isolated SMA dissection were successfully treated with percutaneous endovascular stent placement. At follow-up 6 months later, computed tomography confirmed that the lesions had stabilized. The patients remained symptom free at 14- and 13-month follow-up, respectively. The present report describes these two cases of isolated SMA dissection treated successfully with percutaneous endovascular stent placement, along with a review of the related literature.