Giant Superior Mesenteric Artery Aneurysm Treated by Endovascular Treatment in a Very Elderly Female

Superior mesenteric artery (SMA) aneurysms (SMAAs) are rare and account for approximately 7% of all visceral artery aneurysms. If the anatomical complexity permits and the patency of organ perfusion is allowed, then an endovascular approach is the first choice for minimally invasive procedures. We r...

Full description

Bibliographic Details
Main Authors: Ryo Okubo, Shinsuke Kikuchi, Norifumi Otani, Masahiro Tsutsui, Hiroyuki Kamiya
Format: Article
Language:English
Published: Medrang 2023-05-01
Series:Vascular Specialist International
Subjects:
Online Access:http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.230020
_version_ 1827947355077345280
author Ryo Okubo
Shinsuke Kikuchi
Norifumi Otani
Masahiro Tsutsui
Hiroyuki Kamiya
author_facet Ryo Okubo
Shinsuke Kikuchi
Norifumi Otani
Masahiro Tsutsui
Hiroyuki Kamiya
author_sort Ryo Okubo
collection DOAJ
description Superior mesenteric artery (SMA) aneurysms (SMAAs) are rare and account for approximately 7% of all visceral artery aneurysms. If the anatomical complexity permits and the patency of organ perfusion is allowed, then an endovascular approach is the first choice for minimally invasive procedures. We report the case of a 92-year-old female with a giant SMAA and challenging anatomy, including a short proximal sealing zone from the origin of the SMA and a short distal sealing zone from the hepatic artery bifurcation. In view of her advanced age, she was treated endovascularly with covered stents. Reintervention was required to correct a postoperative endoleak; however, a favorable outcome was achieved with endovascular therapy.
first_indexed 2024-04-09T12:38:43Z
format Article
id doaj.art-74ed4c163a9a4f61ac65a463040677ae
institution Directory Open Access Journal
issn 2288-7970
2288-7989
language English
last_indexed 2024-04-09T12:38:43Z
publishDate 2023-05-01
publisher Medrang
record_format Article
series Vascular Specialist International
spelling doaj.art-74ed4c163a9a4f61ac65a463040677ae2023-05-15T04:51:11ZengMedrangVascular Specialist International2288-79702288-79892023-05-013910.5758/vsi.230020vsi.230020Giant Superior Mesenteric Artery Aneurysm Treated by Endovascular Treatment in a Very Elderly FemaleRyo Okubo0Shinsuke Kikuchi1Norifumi Otani2Masahiro Tsutsui3Hiroyuki Kamiya4Departments of Cardiac Surgery, Asahikawa Medical University, Asahikawa, JapanDepartments of Vascular Surgery, Asahikawa Medical University, Asahikawa, JapanDepartment of Cardiovascular Surgery, Sapporo Teishinkai Hospital, Sapporo, JapanDepartments of Cardiac Surgery, Asahikawa Medical University, Asahikawa, JapanDepartments of Cardiac Surgery, Asahikawa Medical University, Asahikawa, JapanSuperior mesenteric artery (SMA) aneurysms (SMAAs) are rare and account for approximately 7% of all visceral artery aneurysms. If the anatomical complexity permits and the patency of organ perfusion is allowed, then an endovascular approach is the first choice for minimally invasive procedures. We report the case of a 92-year-old female with a giant SMAA and challenging anatomy, including a short proximal sealing zone from the origin of the SMA and a short distal sealing zone from the hepatic artery bifurcation. In view of her advanced age, she was treated endovascularly with covered stents. Reintervention was required to correct a postoperative endoleak; however, a favorable outcome was achieved with endovascular therapy.http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.230020superior mesenteric artery aneurysmvisceral artery aneurysmendovascular treatment
spellingShingle Ryo Okubo
Shinsuke Kikuchi
Norifumi Otani
Masahiro Tsutsui
Hiroyuki Kamiya
Giant Superior Mesenteric Artery Aneurysm Treated by Endovascular Treatment in a Very Elderly Female
Vascular Specialist International
superior mesenteric artery aneurysm
visceral artery aneurysm
endovascular treatment
title Giant Superior Mesenteric Artery Aneurysm Treated by Endovascular Treatment in a Very Elderly Female
title_full Giant Superior Mesenteric Artery Aneurysm Treated by Endovascular Treatment in a Very Elderly Female
title_fullStr Giant Superior Mesenteric Artery Aneurysm Treated by Endovascular Treatment in a Very Elderly Female
title_full_unstemmed Giant Superior Mesenteric Artery Aneurysm Treated by Endovascular Treatment in a Very Elderly Female
title_short Giant Superior Mesenteric Artery Aneurysm Treated by Endovascular Treatment in a Very Elderly Female
title_sort giant superior mesenteric artery aneurysm treated by endovascular treatment in a very elderly female
topic superior mesenteric artery aneurysm
visceral artery aneurysm
endovascular treatment
url http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.230020
work_keys_str_mv AT ryookubo giantsuperiormesentericarteryaneurysmtreatedbyendovasculartreatmentinaveryelderlyfemale
AT shinsukekikuchi giantsuperiormesentericarteryaneurysmtreatedbyendovasculartreatmentinaveryelderlyfemale
AT norifumiotani giantsuperiormesentericarteryaneurysmtreatedbyendovasculartreatmentinaveryelderlyfemale
AT masahirotsutsui giantsuperiormesentericarteryaneurysmtreatedbyendovasculartreatmentinaveryelderlyfemale
AT hiroyukikamiya giantsuperiormesentericarteryaneurysmtreatedbyendovasculartreatmentinaveryelderlyfemale