A case of spontaneous dissection of the superior mesenteric artery.

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Spontaneous dissection of the superior mesenteric artery.

A patient presented with chronic visceral ischemia caused by spontaneous dissection of the superior mesenteric artery; this was treated successfully by "intimectomy" and patch angioplasty. Operative rather than expectant management is recommended for this rare but surgically accessible lesion.

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A true isolated superior mesenteric artery (SMA) dissection is a rare occurrence. The increasing use of diagnostic imaging studies has resulted in this rare disease being more recognized. A 68-year-old Caucasian female presented with sharp upper abdominal pain. Computed tomography (CT) of the abdomen showed dissection with thrombosis in the proximal SMA. Conservative management with bowel rest,...

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Spontaneous dissection of the superior mesenteric artery and the right hepatic artery: a case report

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isolated dissection of superior mesenteric artery

isolated dissection of the superior mesenteric artery is a rare occurrence with a hitherto unknown exact etiology. patients may present with abdominal symptoms or hemodynamic instability. w e herein present a case of spontaneous isolated superior mesenteric artery dissection in a 48-year-old man, who was admitted with epigastric pain. due to an undiagnosed paced rhythm on the electrocardiogram,...

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Superior mesenteric artery dissection.

DESCRIPTION A 61-year-old man presented with a 2-day history of epigastralgia and back pain without nausea, vomiting, haematemesis or melena. He reported that he had untreated hypertension. On examination, his upper extremity blood pressures were 180/100 (right arm) and 177/98 mm Hg (left arm). His abdomen was soft and flat, but showed epigastric tenderness without rebound tenderness or muscle ...

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ژورنال

عنوان ژورنال: Japanese Journal of Cardiovascular Surgery

سال: 1989

ISSN: 1883-4108,0285-1474

DOI: 10.4326/jjcvs.19.25