Vasc Spec Int.
2023 Jun;39(2):10. 10.5758/vsi.230020.
Giant Superior Mesenteric Artery Aneurysm Treated by Endovascular Treatment in a Very Elderly Female
- Affiliations
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- 1Departments of Cardiac Surgery , Asahikawa Medical University, Asahikawa
- 2Departments of Vascular Surgery, Asahikawa Medical University, Asahikawa
- 3Department of Cardiovascular Surgery, Sapporo Teishinkai Hospital, Sapporo, Japan
- KMID: 2544406
- DOI: http://doi.org/10.5758/vsi.230020
Abstract
- Superior mesenteric artery (SMA) aneurysms (SMAAs) are rare and account for approximately 7% of all visceral artery aneurysms. If the anatomical complexity permits and the patency of organ perfusion is allowed, then an endovascular approach is the first choice for minimally invasive procedures. We report the case of a 92-year-old female with a giant SMAA and challenging anatomy, including a short proximal sealing zone from the origin of the SMA and a short distal sealing zone from the hepatic artery bifurcation. In view of her advanced age, she was treated endovascularly with covered stents. Reintervention was required to correct a postoperative endoleak; however, a favorable outcome was achieved with endovascular therapy.
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