Korean J Thorac Cardiovasc Surg.  2018 Jun;51(3):209-212. 10.5090/kjtcs.2018.51.3.209.

Open Surgical Repair Using the Femoral Vein for a Mycotic Superior Mesenteric Artery Aneurysm

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Korea. khjo@cmcnu.or.kr
  • 2Division of Vascular Surgery, Department of Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Korea.

Abstract

Superior mesenteric artery (SMA) aneurysms are rare and often fatal. A 72-year-old man had previously been admitted to the emergency room with epigastric pain and heart murmur. The echocardiographic diagnosis was vegetation on the aortic and mitral valves, with moderate regurgitation from both valves due to infective endocarditis. No aneurysm was detected on abdominal computed tomography, and emergency double-valve replacement was performed. On postoperative day 25, the patient experienced abrupt abdominal pain, and computed tomography revealed a mycotic SMA aneurysm. Open surgical repair of the SMA aneurysm was performed using the femoral vein, and the patient's postoperative course was uneventful.

Keyword

Superior mesenteric artery aneurysm; Endocarditis; Femoral vein; Sternotomy

MeSH Terms

Abdominal Pain
Aged
Aneurysm*
Diagnosis
Echocardiography
Emergencies
Emergency Service, Hospital
Endocarditis
Femoral Vein*
Heart Murmurs
Humans
Mesenteric Artery, Superior*
Mitral Valve
Sternotomy
Full Text Links
  • KJTCS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
    DB Error: unknown error