Superior mesenteric artery branch--jejunal artery aneurysm

• Published in: Interactive cardiovascular and thoracic surgery 2010-12, Vol.11 (6), p.859-861
• Main Authors: Kurdal, Adnan Taner, Cerrahoglu, Mustafa, Iskesen, Ihsan, Sirin, Hayrettin
• Format: Article
• Language: English
• Subjects: Abdominal Pain - etiology; Aneurysm - complications; Aneurysm - diagnostic imaging; Aneurysm - surgery; Back Pain - etiology; Fatigue - etiology; Female; Humans; Jejunum - blood supply; Mesenteric Artery, Superior - diagnostic imaging; Mesenteric Artery, Superior - surgery; Middle Aged; Saphenous Vein - transplantation; Tomography, X-Ray Computed; Treatment Outcome; Vascular Grafting
• ISSN: 1569-9293; 1569-9285
• DOI: 10.1510/icvts.2010.243253

Visceral artery aneurysm (VAA) is a relatively uncommon disorder and it shows some vague symptoms. Therefore, the clinical diagnosis is difficult and these aneurysms are discovered and diagnosed only after rupture in many cases. This case report describes the history of a woman who had a superior mesenteric artery (SMA) branch aneurysm. A 62-year-old woman presented with fatigue and moderate to severe epigastric and mid-back pain. A computed tomography of the abdomen and pelvis demonstrated a partially thrombosed aneurysm (38×40 mm) rising from the jejunal branch of the SMA. The aneurysm which contains mural thrombus is resected, and a saphenous vein graft interposition is performed between the ends of the same jejuno-jejunal artery. The patient's recovery was unremarkable, and she was discharged on postoperative day 7. Rapid diagnosis, localization, and surgical or endovascular interventions are necessary to avoid devastating consequences in VAAs. Saphenous vein graft interposition is a good choice for surgical intervention for patients not suitable for endovascular treatment.