Endovascular management of superior mesenteric artery pseudoaneurysm.

J Vasc Surg

Division of Vascular Surgery, Columbia University College of Physicians and Surgeons, Columbia University Medical Center, New York, NY, USA.

Published: January 2011

AI Article Synopsis

  • A 31-year-old man had surgery (Whipple procedure) for a tumor in his pancreas, which involved removing part of his pancreas and small intestine.
  • Six weeks post-surgery, he experienced severe abdominal pain due to a large pseudoaneurysm (a false aneurysm) from the superior mesenteric artery.
  • A stent graft was placed to treat the pseudoaneurysm, relieving his symptoms, and follow-up imaging confirmed the treatment's success.

Article Abstract

A 31-year-old man underwent a Whipple procedure for a pancreatic neuroendocrine tumor, which consists of a pancreaticoduodenectomy and reconstruction to restore intestinal continuity. Six weeks after the operation, he presented with severe mid-epigastric pain radiating to his back. Imaging studies revealed a large pseudoaneurysm arising from the superior mesenteric artery. Selective superior mesenteric angiography confirmed the presence of the pseudoaneurysm. A 6 mm × 2.5 cm stent graft (Viabhan; W.L. Gore, Flagstaff, Ariz) was deployed across the pseudoaneurysm origin with preservation of the mesenteric branches. The patient had immediate resolution of symptoms and follow-up imaging showed patency of the stent graft and exclusion of the pseudoaneurysm.

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Source
http://dx.doi.org/10.1016/j.jvs.2010.07.071DOI Listing

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