Division of Vascular and Endovascular Surgery, University of Louisville, Louisville, KY.
Division of Vascular and Endovascular Surgery, University of Louisville, Louisville, KY.
Ann Vasc Surg. 2021 Aug;75:531.e15-531.e18. doi: 10.1016/j.avsg.2021.02.044. Epub 2021 Apr 7.
Superior mesenteric artery (SMA) aneurysms are rare and associated with a high risk of rupture, with resultant significant morbidity and mortality. During open operative repair of a superior mesenteric artery aneurysm, perfusion of the involved small bowel must be evaluated when determining need for and/or extent of vascular reconstruction. We present a case of a 51-year-old woman who underwent open repair of a non-ruptured superior mesenteric artery aneurysm with ligation and excision, in whom no revascularization was determined to be needed and the involved small bowel was able to be preserved, with intraoperative evaluation of perfusion using indocyanine green (ICG) fluorescence imaging, as an adjunct to more traditional methods of perfusion assessment.
肠系膜上动脉（SMA）动脉瘤罕见，与高破裂风险相关，导致发病率和死亡率显著增加。在开放手术修复肠系膜上动脉动脉瘤时，必须评估受累小肠的灌注情况，以确定是否需要进行和/或何种程度的血管重建。我们报告了一例 51 岁女性患者，她接受了开放手术修复未破裂的肠系膜上动脉动脉瘤，行结扎和切除，术中使用吲哚菁绿（ICG）荧光成像评估灌注情况，作为传统灌注评估方法的辅助手段，确定无需再血管化，可保留受累小肠。
