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Peripheral Inflammatory Superior Mesenteric Artery Aneurysm Diagnosed by Intraoperative and Histological Findings: A Case Report.

作者信息

Suehiro Yasuo, Seo Hiroyuki, Kubota Yuko, Suehiro Shigefumi, Hirai Hidekazu

机构信息

Department of Cardiovascular Surgery, Osaka Saiseikai Noe Hospital, Osaka, Osaka, Japan.

出版信息

Ann Vasc Dis. 2020 Dec 25;13(4):418-421. doi: 10.3400/avd.cr.20-00078.

DOI:10.3400/avd.cr.20-00078
PMID:33391561
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7758574/
Abstract

Although rare, superior mesenteric artery aneurysms (SMAAs) are life-threatening due to their high rupture rate. We herein report a case involving an 80-year-old man who presented with acute cholecystitis and who was incidentally found to have a 36-mm peripheral SMAA. A surgical intervention was performed, involving resection of the SMAA and reconstruction of the superior mesenteric artery (SMA) using an autologous vein graft. Intraoperative and histological findings indicated an inflammatory aneurysm, and the postoperative course was uneventful. We believe that resection of the aneurysm and reconstruction of the SMA is the preferred procedure for SMAAs to maintain adequate mesenteric circulations.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c09/7758574/aec8b6878ac6/avd-13-4-cr.20-00078-figure03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c09/7758574/374b2732b1c0/avd-13-4-cr.20-00078-figure01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c09/7758574/b33674764a6f/avd-13-4-cr.20-00078-figure02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c09/7758574/aec8b6878ac6/avd-13-4-cr.20-00078-figure03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c09/7758574/374b2732b1c0/avd-13-4-cr.20-00078-figure01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c09/7758574/b33674764a6f/avd-13-4-cr.20-00078-figure02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c09/7758574/aec8b6878ac6/avd-13-4-cr.20-00078-figure03.jpg

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本文引用的文献

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Current management strategies for visceral artery aneurysms: an overview.内脏动脉动脉瘤的当前治疗策略：概述。
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Is open repair still the gold standard in visceral artery aneurysm management?开放修复术仍是内脏动脉瘤治疗的金标准吗？
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Therapeutic management of superior mesenteric artery aneurysms.肠系膜上动脉动脉瘤的治疗管理。
J Vasc Surg. 2011 Jun;53(6):1619-24. doi: 10.1016/j.jvs.2011.02.004. Epub 2011 Apr 30.
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