Superior mesenteric artery aneurysm endovascular repair

Antonio Solano; K Benjamin Lee; Jesus Porras-Colon; Carlos H Timaran; Vivek Prakash; Khalil Chamseddin; Melissa L Kirkwood; M Shadman Baig

doi:10.1016/j.jvscit.2023.101227

Superior mesenteric artery aneurysm endovascular repair

J Vasc Surg Cases Innov Tech. 2023 May 23;9(3):101227. doi: 10.1016/j.jvscit.2023.101227. eCollection 2023 Sep.

Authors

Antonio Solano¹, K Benjamin Lee¹, Jesus Porras-Colon¹, Carlos H Timaran¹, Vivek Prakash¹, Khalil Chamseddin¹, Melissa L Kirkwood¹, M Shadman Baig¹

Affiliation

¹ Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, TX.

Abstract

Superior mesenteric artery aneurysms are rare and associated with high mortality rates in cases of rupture. Current Society for Vascular Surgery guidelines recommend treatment of all superior mesenteric artery aneurysms regardless of size. A 53-year-old woman who was admitted for abdominal pain was found with a 14-cm, ruptured superior mesenteric artery branch aneurysm. Endovascular approach was performed with microvascular plug embolization of a feeding branch and aneurysm sac exclusion with a stent graft. Four months later, the patient demonstrated a 21% regression of the aneurysm and stent patency. Thus, timely diagnosis and treatment of superior mesenteric artery aneurysms with endovascular techniques can reduce potential complications.

Keywords: Aneurysm; Endovascular repair; Endovascular techniques; Superior mesenteric artery; Superior mesenteric artery aneurysm; Visceral artery aneurysm.

Publication types

Case Reports