Therapeutic management of superior mesenteric artery aneurysms

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Presentation transcript:

Therapeutic management of superior mesenteric artery aneurysms Jianjun Jiang, MD, Xiangjiu Ding, MD, Qingbo Su, MD, Guangyong Zhang, MD, Qingliang Wang, MD, Wencheng Jian, MD, Zhanmin Wang, MD, Sanyuan Hu, MD  Journal of Vascular Surgery  Volume 53, Issue 6, Pages 1619-1624 (June 2011) DOI: 10.1016/j.jvs.2011.02.004 Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 1 Preoperative computed tomography (CT) angiogram shows an 8-cm calcified aneurysm arising from the superior mesenteric artery (SMA). Journal of Vascular Surgery 2011 53, 1619-1624DOI: (10.1016/j.jvs.2011.02.004) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 2 A, Selective superior mesenteric artery (SMA) angiogram shows a 3.2-cm aneurysm on the main trunk. B, Completion angiogram shows complete exclusion of the aneurysm with no endoleak. Journal of Vascular Surgery 2011 53, 1619-1624DOI: (10.1016/j.jvs.2011.02.004) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 3 A, Computed tomography (CT) angiogram at 12-month follow-up shows the patent superior mesenteric artery (SMA) reconstruction (large arrow) in the patient who had transposition of the distal SMA trunk onto the aorta. The patient still had SMA branch aneurysms (small arrows). B, CT angiogram at 3-month follow-up shows endoleak (arrow) after endovascular stent graft repair. Journal of Vascular Surgery 2011 53, 1619-1624DOI: (10.1016/j.jvs.2011.02.004) Copyright © 2011 Society for Vascular Surgery Terms and Conditions