Huynh Cindy, Schwartz Robert
1 Department of Surgery, SUNY Upstate Medical University, Syracuse, NY, USA.
2 Division of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Vasc Endovascular Surg. 2017 Aug;51(6):377-379. doi: 10.1177/1538574417702775. Epub 2017 Apr 4.
Chronic mesenteric ischemia most commonly occurs secondary to atherosclerotic disease of the mesenteric arteries. Patients are often older than 60 years and can present with postprandial abdominal pain, nausea, diarrhea, and significant weight loss. Symptomatic disease has traditionally been managed with open surgical repair, but endovascular strategies, such as percutaneous angioplasty and stenting, have emerged as the mainstays of therapy. Complications from stenting include plaque embolization, thrombosis, perforation, or dissection of the mesenteric arteries. We present a patient with symptomatic acute aortic dissection 18 months after celiac and superior mesenteric artery stent placement for chronic mesenteric ischemia.
慢性肠系膜缺血最常见于肠系膜动脉粥样硬化性疾病继发。患者通常年龄超过60岁，可出现餐后腹痛、恶心、腹泻及显著体重减轻。传统上，有症状的疾病采用开放手术修复治疗，但血管内治疗策略，如经皮血管成形术和支架置入术，已成为主要治疗方法。支架置入的并发症包括斑块栓塞、血栓形成、穿孔或肠系膜动脉夹层。我们报告1例患者，在因慢性肠系膜缺血行腹腔干和肠系膜上动脉支架置入术后18个月出现有症状的急性主动脉夹层。
