How to manage a case of aymptomatic thoraco-abdominal aortic aneurysm with occluded mesenteric arteries
We report a unique case of a 57-year-old male having a suprarenal thoraco-abdominal aortic aneurysm which is extending till the origin of superior mesenteric artery (SMA). The origins of celiac artery and SMA were totally occluded and filled retrogradely through dense collateral vessels arising from...
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| Format: | Article |
| Language: | English |
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Elsevier
2015-12-01
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| Series: | Indian Heart Journal |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S0019483215009293 |
| _version_ | 1819282926928396288 |
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| author | Abhisekh Mohanty |
| author_facet | Abhisekh Mohanty |
| author_sort | Abhisekh Mohanty |
| collection | DOAJ |
| description | We report a unique case of a 57-year-old male having a suprarenal thoraco-abdominal aortic aneurysm which is extending till the origin of superior mesenteric artery (SMA). The origins of celiac artery and SMA were totally occluded and filled retrogradely through dense collateral vessels arising from the inferior mesenteric artery. Surprisingly, the patient was not having any symptoms related to mesenteric ischemia. We decided to use a conventional aortic aneurysm stent graft to repair it without revascularizing the occluded mesenteric arteries. After 1 month, CT aortogram was repeated which revealed a well-apposed stent graft with no endoleaks. He did not have any clinical signs and symptoms attributable to mesenteric ischemia. |
| first_indexed | 2024-12-24T01:23:21Z |
| format | Article |
| id | doaj.art-020592cc7e084714aefe9462a16c011b |
| institution | Directory Open Access Journal |
| issn | 0019-4832 |
| language | English |
| last_indexed | 2024-12-24T01:23:21Z |
| publishDate | 2015-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Indian Heart Journal |
| spelling | doaj.art-020592cc7e084714aefe9462a16c011b2022-12-21T17:22:35ZengElsevierIndian Heart Journal0019-48322015-12-0167S3S64S6610.1016/j.ihj.2015.11.040How to manage a case of aymptomatic thoraco-abdominal aortic aneurysm with occluded mesenteric arteriesAbhisekh MohantyWe report a unique case of a 57-year-old male having a suprarenal thoraco-abdominal aortic aneurysm which is extending till the origin of superior mesenteric artery (SMA). The origins of celiac artery and SMA were totally occluded and filled retrogradely through dense collateral vessels arising from the inferior mesenteric artery. Surprisingly, the patient was not having any symptoms related to mesenteric ischemia. We decided to use a conventional aortic aneurysm stent graft to repair it without revascularizing the occluded mesenteric arteries. After 1 month, CT aortogram was repeated which revealed a well-apposed stent graft with no endoleaks. He did not have any clinical signs and symptoms attributable to mesenteric ischemia.http://www.sciencedirect.com/science/article/pii/S0019483215009293Thoraco-abdominal aortic aneurysmAsymptomatic mesenteric ischemiaEndovascular repair |
| spellingShingle | Abhisekh Mohanty How to manage a case of aymptomatic thoraco-abdominal aortic aneurysm with occluded mesenteric arteries Indian Heart Journal Thoraco-abdominal aortic aneurysm Asymptomatic mesenteric ischemia Endovascular repair |
| title | How to manage a case of aymptomatic thoraco-abdominal aortic aneurysm with occluded mesenteric arteries |
| title_full | How to manage a case of aymptomatic thoraco-abdominal aortic aneurysm with occluded mesenteric arteries |
| title_fullStr | How to manage a case of aymptomatic thoraco-abdominal aortic aneurysm with occluded mesenteric arteries |
| title_full_unstemmed | How to manage a case of aymptomatic thoraco-abdominal aortic aneurysm with occluded mesenteric arteries |
| title_short | How to manage a case of aymptomatic thoraco-abdominal aortic aneurysm with occluded mesenteric arteries |
| title_sort | how to manage a case of aymptomatic thoraco abdominal aortic aneurysm with occluded mesenteric arteries |
| topic | Thoraco-abdominal aortic aneurysm Asymptomatic mesenteric ischemia Endovascular repair |
| url | http://www.sciencedirect.com/science/article/pii/S0019483215009293 |
| work_keys_str_mv | AT abhisekhmohanty howtomanageacaseofaymptomaticthoracoabdominalaorticaneurysmwithoccludedmesentericarteries |