Vasc Spec Int.  2024 Sep;40(3):30. 10.5758/vsi.240072.

Spontaneous Isolated Superior Mesenteric Arterial Dissection Treated with a Coronary Covered Stent: A Case Report

• Bruyn FD
• Verelst H
• Mufty H
• Maleux G

• KMID: 2560040
• DOI: http://doi.org/10.5758/vsi.240072

Abstract

Spontaneous isolated dissection of the superior mesenteric artery is rare with a wide spectrum of clinical symptoms. The management of isolated dissections mainly depends on the clinical symptomatology and imaging presentation. This case report describes a 51-year-old male presenting with persistent abdominal pain. Computed tomography angiography revealed an isolated superior mesenteric arterial dissection associated with severe true lumen stenosis and thrombosed false lumen with an ulcer-like projection. Definitive treatment was performed with a coronary covered stent to reopen the true lumen and completely exclude the false lumen.

Keyword

Dissection; Superior mesenteric artery; Covered stent; Computed tomography angiography; Outcome