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KMID : 0614620100550010058
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Korean Journal of Gastroenterology
2010 Volume.55 No. 1 p.58 ~ p.61
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Isolated Spontaneous Dissection of Superior Mesenteric Artery: Treated by Percutaneous Endovascular Stent Placement
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Kwak Jae-Wuk
Paik Chang-Nyol
Chung Woo-Chul
Lee Kang-Moon
Yang Jin-Mo
Kim Ji-Eun
Jung Sung-Hoon
Baik Jun-Hyun
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Abstract
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Isolated spontaneous dissection of the superior mesenteric artery (SMA) without aortic dissection is a rare cause of acute mesenteric ischemia. A sudden decrease of intestinal blood flow can lead to fatal complications such as ischemic necrosis, shock, and death. Therefore, early diagnosis and therapeutic approach before the occurrence of intestinal infarction are the most important factor to determine the patients prognosis. A 52-year-old male presented with postprandial periumbilical pain, and isolated spontaneous dissection of the superior mesenteric artery with mural thrombus was detected by abdominal computed tomography with contrast enhancement. By the percutaneous implantation of vascular metallic stent via femoral artery, he was treated successfully. We report a case of isolated spontaneous dissection of the SMA treated by a percutaneous endovascular stent replacement with a review of literature.
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KEYWORD
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Superior mesenteric artery dissection, Percutaneous stent
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