Endovascular management of superior mesenteric artery pseudoaneurysm
A 31-year-old man underwent a Whipple procedure for a pancreatic neuroendocrine tumor, which consists of a pancreaticoduodenectomy and reconstruction to restore intestinal continuity. Six weeks after the operation, he presented with severe mid-epigastric pain radiating to his back. Imaging studies r...
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Veröffentlicht in: | Journal of vascular surgery 2011, Vol.53 (1), p.209-211 |
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description | A 31-year-old man underwent a Whipple procedure for a pancreatic neuroendocrine tumor, which consists of a pancreaticoduodenectomy and reconstruction to restore intestinal continuity. Six weeks after the operation, he presented with severe mid-epigastric pain radiating to his back. Imaging studies revealed a large pseudoaneurysm arising from the superior mesenteric artery. Selective superior mesenteric angiography confirmed the presence of the pseudoaneurysm. A 6 mm × 2.5 cm stent graft (Viabhan; W.L. Gore, Flagstaff, Ariz) was deployed across the pseudoaneurysm origin with preservation of the mesenteric branches. The patient had immediate resolution of symptoms and follow-up imaging showed patency of the stent graft and exclusion of the pseudoaneurysm. |
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Six weeks after the operation, he presented with severe mid-epigastric pain radiating to his back. Imaging studies revealed a large pseudoaneurysm arising from the superior mesenteric artery. Selective superior mesenteric angiography confirmed the presence of the pseudoaneurysm. A 6 mm × 2.5 cm stent graft (Viabhan; W.L. Gore, Flagstaff, Ariz) was deployed across the pseudoaneurysm origin with preservation of the mesenteric branches. The patient had immediate resolution of symptoms and follow-up imaging showed patency of the stent graft and exclusion of the pseudoaneurysm.</description><identifier>ISSN: 0741-5214</identifier><identifier>EISSN: 1097-6809</identifier><identifier>DOI: 10.1016/j.jvs.2010.07.071</identifier><identifier>PMID: 21184935</identifier><identifier>CODEN: JVSUES</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Adult ; Aneurysm, False - complications ; Aneurysm, False - diagnostic imaging ; Aneurysm, False - surgery ; Back Pain - etiology ; Biological and medical sciences ; Blood Vessel Prosthesis Implantation ; Endovascular Procedures ; Fatal Outcome ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Liver Neoplasms - secondary ; Male ; Medical sciences ; Mesenteric Artery, Superior - diagnostic imaging ; Neuroendocrine Tumors - secondary ; Neuroendocrine Tumors - surgery ; Other diseases. Semiology ; Pancreatic Neoplasms - pathology ; Pancreatic Neoplasms - surgery ; Pancreaticoduodenectomy - adverse effects ; Stents ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; Surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Tomography, X-Ray Computed ; Vascular Patency ; Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels</subject><ispartof>Journal of vascular surgery, 2011, Vol.53 (1), p.209-211</ispartof><rights>Society for Vascular Surgery</rights><rights>2011 Society for Vascular Surgery</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 Society for Vascular Surgery. Published by Mosby, Inc. 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Six weeks after the operation, he presented with severe mid-epigastric pain radiating to his back. Imaging studies revealed a large pseudoaneurysm arising from the superior mesenteric artery. Selective superior mesenteric angiography confirmed the presence of the pseudoaneurysm. A 6 mm × 2.5 cm stent graft (Viabhan; W.L. Gore, Flagstaff, Ariz) was deployed across the pseudoaneurysm origin with preservation of the mesenteric branches. The patient had immediate resolution of symptoms and follow-up imaging showed patency of the stent graft and exclusion of the pseudoaneurysm.</description><subject>Adult</subject><subject>Aneurysm, False - complications</subject><subject>Aneurysm, False - diagnostic imaging</subject><subject>Aneurysm, False - surgery</subject><subject>Back Pain - etiology</subject><subject>Biological and medical sciences</subject><subject>Blood Vessel Prosthesis Implantation</subject><subject>Endovascular Procedures</subject><subject>Fatal Outcome</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Liver Neoplasms - secondary</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mesenteric Artery, Superior - diagnostic imaging</subject><subject>Neuroendocrine Tumors - secondary</subject><subject>Neuroendocrine Tumors - surgery</subject><subject>Other diseases. Semiology</subject><subject>Pancreatic Neoplasms - pathology</subject><subject>Pancreatic Neoplasms - surgery</subject><subject>Pancreaticoduodenectomy - adverse effects</subject><subject>Stents</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Tomography, X-Ray Computed</subject><subject>Vascular Patency</subject><subject>Vascular surgery: aorta, extremities, vena cava. 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Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Liver Neoplasms - secondary</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mesenteric Artery, Superior - diagnostic imaging</topic><topic>Neuroendocrine Tumors - secondary</topic><topic>Neuroendocrine Tumors - surgery</topic><topic>Other diseases. Semiology</topic><topic>Pancreatic Neoplasms - pathology</topic><topic>Pancreatic Neoplasms - surgery</topic><topic>Pancreaticoduodenectomy - adverse effects</topic><topic>Stents</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Tomography, X-Ray Computed</topic><topic>Vascular Patency</topic><topic>Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shrikhande, Gautam V., MD</creatorcontrib><creatorcontrib>Khan, Sikandar Zaman, MD</creatorcontrib><creatorcontrib>Gallagher, Katherine, MD</creatorcontrib><creatorcontrib>Morrissey, Nicholas J., MD</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of vascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shrikhande, Gautam V., MD</au><au>Khan, Sikandar Zaman, MD</au><au>Gallagher, Katherine, MD</au><au>Morrissey, Nicholas J., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endovascular management of superior mesenteric artery pseudoaneurysm</atitle><jtitle>Journal of vascular surgery</jtitle><addtitle>J Vasc Surg</addtitle><date>2011</date><risdate>2011</risdate><volume>53</volume><issue>1</issue><spage>209</spage><epage>211</epage><pages>209-211</pages><issn>0741-5214</issn><eissn>1097-6809</eissn><coden>JVSUES</coden><abstract>A 31-year-old man underwent a Whipple procedure for a pancreatic neuroendocrine tumor, which consists of a pancreaticoduodenectomy and reconstruction to restore intestinal continuity. Six weeks after the operation, he presented with severe mid-epigastric pain radiating to his back. Imaging studies revealed a large pseudoaneurysm arising from the superior mesenteric artery. Selective superior mesenteric angiography confirmed the presence of the pseudoaneurysm. A 6 mm × 2.5 cm stent graft (Viabhan; W.L. Gore, Flagstaff, Ariz) was deployed across the pseudoaneurysm origin with preservation of the mesenteric branches. The patient had immediate resolution of symptoms and follow-up imaging showed patency of the stent graft and exclusion of the pseudoaneurysm.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>21184935</pmid><doi>10.1016/j.jvs.2010.07.071</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Aneurysm, False - complications Aneurysm, False - diagnostic imaging Aneurysm, False - surgery Back Pain - etiology Biological and medical sciences Blood Vessel Prosthesis Implantation Endovascular Procedures Fatal Outcome Gastroenterology. Liver. Pancreas. Abdomen Humans Liver Neoplasms - secondary Male Medical sciences Mesenteric Artery, Superior - diagnostic imaging Neuroendocrine Tumors - secondary Neuroendocrine Tumors - surgery Other diseases. Semiology Pancreatic Neoplasms - pathology Pancreatic Neoplasms - surgery Pancreaticoduodenectomy - adverse effects Stents Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Tomography, X-Ray Computed Vascular Patency Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels |
title | Endovascular management of superior mesenteric artery pseudoaneurysm |
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