Hybrid surgery for imminent rupture of superior mesenteric artery aneurysms

Yuta Miyano MD, Hiroshi Mitsuoka PhD, Takahiro Suzuki MD
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Abstract

A case of a superior mesenteric artery aneurysm presented with an impending rupture. The aneurysm was located in the right side branch of the superior mesenteric artery. The patient underwent an emergency hybrid procedure, which included aneurysm embolization and exclusion of the aneurysm with an endoluminal stent graft. The blood supply to the right side branch was restored by bypass grafting with an autologous vein graft. The postoperative course was uneventful with no evidence of mesenteric ischemia. Postoperative computed tomography angiography confirmed complete aneurysm exclusion and sac size reduction, as well as patency of the stent graft and bypass.
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复合式手术治疗肠系膜上动脉瘤急症破裂。
一例肠系膜上动脉动脉瘤表现为即将破裂。动脉瘤位于肠系膜上动脉右侧分支。患者接受了紧急混合手术,包括动脉瘤栓塞和腔内支架移植排除动脉瘤。采用自体静脉旁路移植术恢复右支血供。术后过程平稳,无肠系膜缺血迹象。术后ct血管造影证实动脉瘤完全排除,囊缩小,支架和搭桥通畅。
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来源期刊
CiteScore
1.00
自引率
14.30%
发文量
219
审稿时长
29 weeks
期刊介绍: Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.
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Table of contents Editorial Board Hybrid surgery for imminent rupture of superior mesenteric artery aneurysms Perioperative and mid-term results of trans-graft embolization of the hypogastric artery for treatment of type II endoleaks after endovascular aortic repair with off-label use of re-entry catheters Pulmonary aspiration thrombectomy with Lightning Flash catheter in a young patient with fibrosing mediastinitis
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