Fuson Olivia, Janssen Claire, Barleben Andrew, Gaffey Ann
Department of Vascular and Endovascular Surgery, University of California at San Diego, San Diego, CA.
J Vasc Surg Cases Innov Tech. 2024 Oct 22;11(1):101646. doi: 10.1016/j.jvscit.2024.101646. eCollection 2025 Feb.
Superior mesenteric artery (SMA) pseudoaneurysm with superior mesenteric arteriovenous fistula (SMAVF) is a rare pathology associated with high rates of rupture and mortality. Known interventions for the treatment of SMA pseudoaneurysm with SMAVF include open repair or endovascular repair with coil embolization or covered stenting. To the best of our knowledge, this report is the first of physician-modified endograft for the treatment of SMA pseudoaneurysm with SMAVF after prior thrombosis, ligation, and coil embolization of the SMA. The patient recovered well and has 1 month of follow-up after the procedure.
伴有肠系膜上动静脉瘘（SMAVF）的肠系膜上动脉（SMA）假性动脉瘤是一种罕见的病变，其破裂率和死亡率很高。已知的治疗伴有SMAVF的SMA假性动脉瘤的干预措施包括开放修复或采用弹簧圈栓塞或覆膜支架置入术的血管腔内修复。据我们所知，本报告是首例使用医生改良型血管内移植物治疗在先前SMA血栓形成、结扎和弹簧圈栓塞后伴有SMAVF的SMA假性动脉瘤。患者恢复良好，术后有1个月的随访期。
