Isolated Spontaneous Dissection of the Superior Mesenteric Artery: Successful Primary Therapy with a Nitinol Stent

Isolated spontaneous dissection of the superior mesenteric artery is rare. Conventional treatment involves surgical or conservative management, and is increasingly supported by radiological interventions. We describe herein a patient with this condition, successfully treated by primary percutaneous endovascular nitinol stent placement after an acute isolated spontaneous superior mesenteric artery dissection, who has been followed up for 47 months. We also review the relevant literature and describe the increasing use of endovascular stenting, which is becoming the preferred treatment for this type of condition.