Department of Cardiothoracic Surgery, Suining Central Hospital, Suining, China.
Department of Vascular Surgery, Suining Central Hospital, Suining, China.
Vascular. 2024 Aug;32(4):764-767. doi: 10.1177/17085381231158440. Epub 2023 Feb 17.
The progress of visceral artery aneurysms (VAAs) after the endovascular repair of artery aneurysms is often accompanies by the potential risks of stent fracture. The clinical reported cases of VAAs stent fractures with stent displacement were extremely rare but severe complication, particularly for the superior mesenteric artery aneurysm (SMAA).
We here reported a 62-year-old female patient with recurrent symptoms of SMAA 2 years after the successful endovascular repair using coil embolization and two partial overlapping stent-grafts in SMAA. The open surgery was performed instead of secondary endovascular intervention.
The patient experienced a good recovery. As one of the complications after endovascular repair, stent fracture maybe more dangerous than SMAA itself, the stent fracture after endovascular repair treated by open surgery with satisfactory results is alternative and feasible.
内脏动脉动脉瘤（VAAs）在进行血管内动脉瘤修复后会进展，往往伴随着支架断裂的潜在风险。临床上VAAs 支架断裂伴支架移位的病例极为罕见，但却是一种严重的并发症，特别是对于肠系膜上动脉动脉瘤（SMAA）。
我们在此报告一例 62 岁女性患者，在 SMAA 成功进行 coil 栓塞和两个部分重叠的支架置入血管内修复 2 年后，再次出现 SMAA 症状。采用开放手术而非二次血管内介入治疗。
患者恢复良好。作为血管内修复后的并发症之一，支架断裂可能比 SMAA 本身更危险，血管内修复后支架断裂采用开放手术治疗效果满意，是一种可行的替代方法。
