Dissecting aneurysms of arteries other than the aorta

Guthrie, W.; MacLean, Helen E.

doi:10.1002/path.1711080308

Cited by 95 publications

(22 citation statements)

References 56 publications

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“…These lesions concern, in order of decreasing frequency, the renal arteries, the coronary arteries, the carotid arteries, and the splanchnic arteries. 3 SDs of the celiac artery are the least common of all splanchnic artery dissections. 1,2 From 1975 to 2008, 74 SDs of the SMA were described 1 vs only 31 SDs of the celiac artery.…”

Section: Discussionmentioning

confidence: 99%

Successful percutaneous embolization of a symptomatic celiac artery dissection with aneurysmal dilation with detachable vascular plugs

Batt

Baqué

2011

Journal of Vascular Surgery

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This report describes a 43-year-old man with a history of acute abdominal pain with shock. Emergency intervention was decided. No evidence of active bleeding was found. A contrast-enhanced computed tomography scan after the intervention revealed a celiac artery dissection with an intimal flap, with associated aneurysmal dilation. The patient was referred to our institution for endovascular management by upstream and downstream occlusion. Coils and detachable vascular plugs were successfully deployed to occlude the aneurysm. Vascular plugs are easy to use, reduce costs, and shorten the duration of the procedure. A contrast-enhanced computed tomography scan at 9 months showed complete occlusion of the aneurysm.

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Section: Discussionmentioning

confidence: 99%

Successful percutaneous embolization of a symptomatic celiac artery dissection with aneurysmal dilation with detachable vascular plugs

Batt

Baqué

2011

Journal of Vascular Surgery

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“…The vast majority of these patients (24/30) were males with an average age of 53.2 years. Six patients had associated aneurysms in other arteries including the renal, commoniliac and coronary arteries (3,14,15). The origin of the dissection has been reported in 14 cases (1) and has been reported to typically be located between 1 and 6 cm from the aorta (mean 2.6 cm).…”

Section: Discussionmentioning

confidence: 99%

“…The collateral from the splenic artery to the SMAseemed to show chronic ischemia of the colon blood flow. AbdominalCTscans were a reliable method for the evaluation of this condition (15,16). There are no current recommendations for the interval between the scans.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Isolated Dissection of the Superior Mesenteric Artery.

Takayama¹,

Takeda²,

Saitoh³

et al. 2002

Intern. Med.

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A case of a 63-year-old man with isolated dissection of the superior mesenteric artery (SMA), demonstrated by enhanced computed tomography (CT) and abdominal angiography, was admitted to our hospital. The severity of this disease varies from mild to severe; the severe cases require surgery. But the mild cases, like the one presented here, only need conservative therapy. This case demonstrated the usefulness of anticoagulation therapy and the indications for surgical and radiological intervention. (Intrenal Medicine 41: 713-716, 2002)

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“…(1, 2) Before 1972, isolated SMA dissection had a high mortality rate, and the diagnosis was usually made at the time of autopsy. (1,2) Since 1975, more cases have been reported and survival was achieved in all but one reported case by using a variety of treatment modalities. (3,4,5) In this article we describe the diagnosis and treatment of a patient who presented to the emergency department with clinical signs of an acute abdomen and signs suggestive of acute occlusion of the SMA.…”

Section: Introductionmentioning

confidence: 99%