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KMID : 0371320120830020115
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Journal of the Korean Surgical Society
2012 Volume.83 No. 2 p.115 ~ p.118
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Successful aspiration and thrombolytic therapy for acute superior mesenteric artery occlusion
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Byun Seung-Jae
So Byung-Jun
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Abstract
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To report a case of acute superior mesenteric artery (SMA) embolism successfully treated with aspiration and pharmacological thrombolysis. A 74-year-old female was admitted to the hospital with acute abdominal pain 5 hours in duration. Computed tomography angiography revealed a complete embolic occlusion distal to the first jejunal branch of the SMA. Aspiration and local continuous thrombolysis with urokinase resulted in near complete revascularization of the mesenteric flow after 4 hours and almost complete restoration after 20 hours. The patient made a complete recovery and continues to do well on warfarin therapy after treatment. Aspiration and thrombolytic therapy can be an alternative treatment modality in surgical high risk patient.
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KEYWORD
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Superior mesenteric artery embolism, Aspiration, Thrombolysis
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