Hybrid surgery for imminent rupture of superior mesenteric artery aneurysms.

J Vasc Surg Cases Innov Tech

Department of Cardiovascular Surgery, Shizuoka City Shizuoka Hospital, Shizuoka, Japan.

Published: February 2025

AI Article Synopsis

  • * The patient received an emergency hybrid procedure combining aneurysm embolization, stent graft placement, and a bypass with an autologous vein graft to restore blood flow.
  • * Post-surgery, the recovery was smooth, and imaging showed successful exclusion of the aneurysm, reduced sac size, and intact blood flow in the stent graft and bypass.

Article Abstract

A case of a superior mesenteric artery aneurysm presented with an impending rupture. The aneurysm was located in the right side branch of the superior mesenteric artery. The patient underwent an emergency hybrid procedure, which included aneurysm embolization and exclusion of the aneurysm with an endoluminal stent graft. The blood supply to the right side branch was restored by bypass grafting with an autologous vein graft. The postoperative course was uneventful with no evidence of mesenteric ischemia. Postoperative computed tomography angiography confirmed complete aneurysm exclusion and sac size reduction, as well as patency of the stent graft and bypass.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11650280PMC
http://dx.doi.org/10.1016/j.jvscit.2024.101665DOI Listing

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