Purpose: The purpose of this article is to report a case of acute superior mesenteric artery embolism due to infective endocarditis treated with endovascular therapy.
Case Report: A patient with infective endocarditis was admitted to the hospital with abdominal pain, and abdominal enhanced computer tomography showed acute superior mesenteric artery embolism. He underwent urgent percutaneous mechanical thrombectomy and stenting to open the superior mesenteric artery and restore blood supply to the intestine. However, 17 days after the endovascular treatment, a pseudoaneurysm formed next to the stent, which was eventually removed by open surgery. The patient's prognosis was good at the 1 year follow-up.
Conclusion: Endovascular treatment of acute superior mesenteric artery embolism caused by infective endocarditis was able to rapidly restore the intestinal blood supply. However, the possibility of postoperative pseudoaneurysm needs to be guarded against.
Clinical Impact: This study will provide clinical treatment guidance for acute superior mesenteric artery embolism caused by infectious endocarditis. Endovascular treatment may rapidly alleviate intestinal ischemia and reduce the risk of intestinal necrosis, but it cannot completely eliminate infectious emboli, which may lead to further development of pseudoaneurysms.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1177/15266028241300927 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
The role of Doppler ultrasonography in the detection and management of nutcracker syndrome.
Ultrasonography
December 2024
Professor Emeritus, Department of Radiology, Seoul National University Hospital, Seoul, Korea.
Nutcracker syndrome is caused by the compression of the left renal vein between the abdominal aorta and the superior mesenteric artery. The use of Doppler ultrasonography to diagnose this condition is challenging due to the dynamic nature of the nutcracker phenomenon and the variability of its symptoms, which can fluctuate with changes in patient posture and respiration. This review emphasizes the critical role of Doppler ultrasonography in identifying and managing nutcracker syndrome.
View Article and Find Full Text PDF[Comparison of effect of different medial boundaries in laparoscopic right hemicolectomy: a meta-analysis].
Zhonghua Wei Chang Wai Ke Za Zhi
December 2024
Department of General Surgery, the Second Affiliated Hospital, Zhengzhou University, Zhengzhou450014, China.
To investigate and compare the clinical efficacy and prognosis of D3 lymphadenectomy/complete mesocolic excision in treatment of right colon cancer with different medial boundaries. We searched The Cochrane Library, Pubmed, Embase, CBM, VIP, CNKI, and WanFang data bases for superior mesenteric artery (SMA)-oriented and superior mesenteric vein (SMV)-oriented D3 lymphadenectomy/complete mesocolic excision from inception to December, 2023. The resultant data were submitted to meta-analysis using RevMan 5.
View Article and Find Full Text PDFJejunal artery and vein positioning in free jejunal transfer: Surgical considerations and clinical implications.
J Plast Reconstr Aesthet Surg
November 2024
Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School, Tokyo, Japan.
Background: Previous computed tomography studies have reported that the superior mesenteric artery is often located ventrally to the superior mesenteric vein; however, the precise location of the peripheral jejunal arteriovenous system is unknown. This study investigated the arteriovenous positioning of the free jejunal flaps during reconstructive surgery.
Methods: This retrospective cohort study included 78 patients who underwent free jejunal flap reconstruction between June 2021 and May 2023.
Superior Mesenteric Artery Syndrome During Head Trauma Rehabilitation - The Need for Nutritional Guidelines.
Indian J Pediatr
December 2024
Department of Pediatric Surgery, St. John's Medical College Hospital, Sarjapur Road, Bengaluru, 560034, India.
Outcome of Single Versus Dual Antiplatelet Therapy After Complex Endovascular Aortic Repair.
J Surg Res
December 2024
Clinic for Vascular and Endovascular Surgery, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University, Düsseldorf, Germany. Electronic address:
Introduction: Despite the widespread use of branched (bEVAR) and fenestrated endovascular aortic repair (fEVAR) for complex aortic pathologies, there are no reliable recommendations regarding postsurgery antiplatelet therapy. We therefore evaluated the outcome of single (SAPT) and dual antiplatelet therapy (DAPT) following fEVAR and bEVAR.
Methods: A total of 63 patients from two German centers treated for complex aortic pathologies were included in this retrospective study.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!