A 50-year-old woman who was a heavy smoker presented with intermittent claudication of both lower extremities. An abdominal aortogram with bilateral lower extremity runoff demonstrated marked arteriosclerotic occlusive disease of the superficial femoral arteries. It also demonstrated a huge meandering mesenteric artery as an important collateral system (A). Note that the inferior mesenteric art...

Superior mesenteric artery (SMA) syndrome is a rare disease in which the third portion of the duodenum is compressed by SMA. There are many causes leading to the SMA syndrome, however it's extremely rare that aortic aneurysm causes a SMA syndrome. We report a case of a successfully treated SMA syndrome due to an abdominal aortic aneurysm in a renal transplant recipient. The patient was a 52-yr-...

Spontaneous isolated splanchnic artery dissection is uncommon with superior mesenteric artery (SMA) being the most commonly dissection-affected artery. Spontaneous celiac artery dissection is rare, but underestimation is anticipated due to variable clinical manifestations. Only 11% of celiac artery dissections are associated with SMA dissections. Spontaneous isolated splanchnic artery dissectio...

Vertebral artery aneurysms are a rare type of vasculopathy with significant risk rupture, ischemia, and potential neurological deficits. Their location in the cervical region presents surgical challenge open endovascular options alike lack consensus on best treatment option. We present an approach to vertebral aneurysm repair patient vascular Ehlers-Danlos syndrome (type IV). A 44-year-old male...

Takayasu's arteritis (TA) is an idiopathic chronic inflammatory disease of the connective tissue that affects mainly the aorta and its branches. Treatment is mainly based on corticosteroids and immunosuppressants. We report the case of a 33-year-old female complaining of malaise, fever, myalgia, severe pulsing holocranial headache resistant to analgesics, systemic arterial hypertension hard to ...

Superior mesenteric artery (SMA) syndrome is a rare cause of obstruction of 3rd part of duodenum between abdominal aorta and the overlying superior mesenteric artery caused by decrease in the angle between the two vessels as a result of rapid loss of retroperitoneal fat. It is seen in conditions causing severe weight loss and catabolic states. We report a case of pulmonary tuberculosis leading ...

We enjoyed reading the report by Kurosaki et al. on their experience with the left posterior approach to the superior mesenteric artery in a pancreaticoduodenectomy for pancreatic head cancer [1]. Since the retroportal lamina (containing lymphatic structures, small vessels and nerves) should be completely resected during a pancreaticoduodenectomy for pancreatic head cancer, dissection along the...

This is a case report that suggests the possible association between multiple splanchnic arterial aneurysms and long-distance running. The clinical features of one patient admitted at Chungbuk National University Hospital for treatment of multiple splanchnic arterial aneurysms were reviewed. A 54-year-old man had a recurrent, intermittent and epigastric pain for 2 months. There was no abnormali...

INTRODUCTION Neurofibromatosis type 1 is an autosomal dominant disease primarily characterized by cutaneous café au lait spots, benign cutaneous neurofibromas, tumors of the central and peripheral nervous system, multiple skeletal abnormalities, and vascular abnormalities. CASE PRESENTATION Here we describe the case of a 39-year-old Japanese man with neurofibromatosis type 1 complicated by th...