Department of Vascular Surgery, General Surgery, Qilu Hospital of Shandong University, Jinan, China.
Department of Pharmacology, School of Basic Medical Sciences, Shandong University, Jinan, China.
Interact Cardiovasc Thorac Surg. 2022 Jun 1;34(6):1147-1149. doi: 10.1093/icvts/ivab296.
Inflammatory superior mesenteric artery aneurysm is an extremely rare but life-threatening condition that can result in fatal rupture. Early surgery has been emphasized to prevent aneurysm rupture. We present a case that was successfully managed with conservative treatment. The patient was treated with intravenous methylprednisolone pulse therapy followed by oral prednisolone. Steroid therapy should be considered for unruptured inflammatory superior mesenteric artery aneurysms before surgery.
炎症性肠系膜上动脉动脉瘤是一种极其罕见但危及生命的疾病，可导致致命性破裂。早期手术已被强调用于预防动脉瘤破裂。我们报告了一例成功采用保守治疗进行管理的病例。该患者接受了静脉注射甲基强的松龙脉冲治疗，随后口服泼尼松龙。在手术前，对于未破裂的炎症性肠系膜上动脉动脉瘤，应考虑使用类固醇治疗。
