Dyrud Paul, Hohenwalter Eric, Rasheed Amer, Malinowski Michael
Department of Surgery, Division of Vascular and Endovascular Surgery, Medical College of Wisconsin, Milwaukee, WI.
Department of Radiology, Division of Vascular and Interventional Radiology, Medical College of Wisconsin, Milwaukee, WI.
J Vasc Surg Cases Innov Tech. 2024 Mar 13;10(3):101481. doi: 10.1016/j.jvscit.2024.101481. eCollection 2024 Jun.
We present a case of acute isolated superior mesenteric artery dissection with symptomatic bowel malperfusion requiring surgical intervention. We recommend clinicians and surgeons maintain a high clinical suspicion for mesenteric ischemia in patients presenting with isolated superior mesenteric artery dissection and describe a hybrid open surgical/endovascular approach that can safely be utilized in patients requiring intervention.
我们报告一例急性孤立性肠系膜上动脉夹层,伴有有症状的肠灌注不良,需要手术干预。我们建议临床医生和外科医生对出现孤立性肠系膜上动脉夹层的患者保持高度的临床怀疑,并描述一种可安全用于需要干预的患者的开放手术与血管腔内治疗相结合的方法。