Open Surgical Repair Using the Femoral Vein for a Mycotic Superior Mesenteric Artery Aneurysm

• Published in: Journal of chest surgery pp. 209 - 212
• Main Authors: 남궁민, 홍석범, 김환욱, 조건현, 김장용
• Format: Journal Article
• Language: English
• Published: 대한흉부외과학회 01-06-2018
• Subjects: 흉부외과학
• ISSN: 2765-1606; 2765-1614

Superior mesenteric artery (SMA) aneurysms are rare and often fatal. A 72-year-old man had previously been admitted to the emergency room with epigastric pain and heart murmur. The echocardiographic diagnosis was vegetation on the aortic and mitral valves, with moderate regurgitation from both valves due to infective endocarditis. No aneurysm was detected on abdominal computed tomography, and emergency double- valve replacement was performed. On postoperative day 25, the patient experienced abrupt abdominal pain, and computed tomography revealed a mycotic SMA aneurysm. Open surgical repair of the SMA aneurysm was performed using the femoral vein, and the patient’s postoperative course was uneventful. KCI Citation Count: 0