Three isolated superior mesenteric artery dissections: Update of previous case reports, diagnostics, and treatment options

Isolated superior mesenteric artery dissection is a relatively rare vascular pathology. However, the number of recent case reports has shown an increasing incidence with the widespread use of computed tomography imaging for abdominal pain. Here we report three cases of isolated superior mesenteric a...

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Bibliographic Details
Published in:Journal of vascular surgery 2008-03, Vol.47 (3), p.649-653.e2
Main Authors: Morris, John T., DO, Guerriero, John, DO, Sage, Joseph G., DO, Mansour, M. Ashraf, MD
Format: Article
Language:English
Subjects:
Abdominal Pain - etiology
Abdominal Pain - therapy
Adult
Algorithms
Aneurysm, Dissecting - complications
Aneurysm, Dissecting - diagnostic imaging
Aneurysm, Dissecting - therapy
Anticoagulants - therapeutic use
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Clinical Protocols
Combined Modality Therapy
Digestive System Surgical Procedures
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Female
Humans
Intestine, Small - transplantation
Male
Medical sciences
Mesenteric Artery, Superior - diagnostic imaging
Mesenteric Vascular Occlusion - complications
Mesenteric Vascular Occlusion - diagnostic imaging
Mesenteric Vascular Occlusion - therapy
Middle Aged
Narcotics - therapeutic use
Parenteral Nutrition, Home Total
Patient Selection
Radiography
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Treatment Outcome
Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
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Description
Summary:Isolated superior mesenteric artery dissection is a relatively rare vascular pathology. However, the number of recent case reports has shown an increasing incidence with the widespread use of computed tomography imaging for abdominal pain. Here we report three cases of isolated superior mesenteric artery dissection. The unique surgical option of small bowel transplantation along with successful medical management is described. A treatment algorithm for isolated superior mesenteric artery dissection is also proposed.
ISSN:0741-5214
1097-6809
DOI:10.1016/j.jvs.2007.08.052