Three-dimensional studies on the structure of the tissue surrounding the superior mesenteric artery

1994 ◽  
Vol 15 (2) ◽  
pp. 129-138
Author(s):  
Takukazu Nagakawa ◽  
Kazuhiro Mori ◽  
Masato Kayahara ◽  
Tetsuo Ohta ◽  
Keiichi Ueno ◽  
...  
Keyword(s):  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Three Dimensional

Three-dimensional CT imaging of an isolated dissecting aneurysm of the superior mesenteric artery

1996 ◽  
Vol 21 (6) ◽  
pp. 515-516 ◽  
Author(s):  
H. Hyodoh ◽  
K. Hyodoh ◽  
K. Takahashi ◽  
M. Yamagata ◽  
K. Kanazawa
Keyword(s):  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Three Dimensional ◽  
Dissecting Aneurysm ◽  
Ct Imaging

A 6.5-cm pseudoaneurysm of the superior mesenteric artery managed by primary surgical repair

Vascular ◽  
2011 ◽  
Vol 21 (1) ◽  
pp. 39-42 ◽  
Author(s):  
Bobby V M Dasari ◽  
Michael Mullan ◽  
Louis Lau ◽  
William Loan ◽  
Bernard Lee
Keyword(s):  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Surgical Repair ◽  
Primary Repair ◽  
Three Dimensional ◽  
Preoperative Assessment ◽  
Computed Tomographic ◽  
Intervention Treatment ◽  
Dimensional Reconstruction

Superior mesenteric artery (SMA) aneurysms are rare but associated with significant mortality (25–40%) when complicated by rupture or thrombosis. Symptomatic SMA aneurysms, asymptomatic aneurysms of ≥2 cm size and pseudoaneurysms need intervention. We report a case of a 6.5-cm symptomatic SMA aneurysm managed by open surgical repair. At intraoperative exploration, the aneurysm was recognized to be a pseudoaneurysm with a narrow neck (1 mm defect in the native vessel) and was dealt by primary repair. Clinical presentation, the role of radiological investigations and management are discussed. Detailed preoperative assessment of the anatomical characters is essential in planning the intervention for SMA aneurysms. The required information can be obtained by selective interventional angiogram or computed tomographic angiogram with three-dimensional reconstruction. Multi-institutional prospective databases might provide better evidence regarding the timing of intervention, treatment modality, postinterventional follow-up and surveillance of patients with mesenteric aneurysms.

Duodenal Derotation as an Effective Treatment of Superior Mesenteric Artery Syndrome: A Thirty-Three Year Experience

2008 ◽  
Vol 74 (7) ◽  
pp. 644-653 ◽  
Author(s):  
Chi D. Ha ◽  
Domingo T. Alvear ◽  
David C. Leber
Keyword(s):  
Superior Mesenteric Artery ◽  
Surgical Complications ◽  
Mesenteric Artery ◽  
Three Dimensional ◽  
Young Patients ◽  
Superior Mesenteric Artery Syndrome ◽  
Gastrointestinal Series ◽  
The Mean

We evaluated the use of duodenal derotation as a surgical option for superior mesenteric artery syndrome (SMAS) in two groups of young patients. Sixteen patients with SMAS diagnosed by barium upper gastrointestinal series (UGI) from 1974 to 2001, and six patients diagnosed by computerized tomography with three-dimensional reconstructions (3D CT) from 2001 to 2007 were referred to our surgical service, 19 of whom underwent duodenal derotation as the primary surgical treatment after a failed trial of conservative treatment. The main measured outcomes were the resolution of typical symptoms of SMAS and the development of long-term surgical complications. Of the first 16 patients, three (19%) responded to nasojejunal feedings. Of 13 patients undergoing derotation, only one (7.7%) failed derotation and required a gastrojejunostomy bypass, whereas 12 (92%) became asymptomatic after the derotation procedure. After a mean follow-up of 5.13 years (range 0.1–15), two patients (15%) presented with small bowel obstructions and were treated with a simple lysis of the adhesion. All six patients from 2001 to 2007 responded well to surgical derotation. Overall, duodenal derotations successfully relieved symptoms in 18 out of 19 (95%) patients with SMAS, with two (11%) major long-term surgical complications. No volvulus was observed in our patients at the mean follow-up of 4.37 years.

scholarly journals Endovascular revascularization of heavily calcified occlusion in superior mesenteric artery using Transcollateral approach

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Kazunori Horie ◽  
Akiko Tanaka ◽  
Norio Tada
Keyword(s):  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Three Dimensional ◽  
Celiac Trunk ◽  
Celiac Artery ◽  
3D Ct ◽  
Total Occlusion ◽  
Abdominal Angina ◽  
Endovascular Revascularization ◽  
Pull Through

Abstract Background Mesenteric ischaemia is often a manifestation of severe vascular disease involving the superior mesenteric artery (SMA). Endovascular revascularization is challenging in a chronic total occlusion (CTO) of SMA. Case presentation A-73-year-old male patient was referred to our hospital because of a 2-year history of post prandial abdominal angina. Computed tomography (CT) images revealed a heavily calcified CTO in the ostium of SMA and three-dimensional CT (3D-CT) detected pancreaticoduodenal arcade with filling from the celiac artery. Then, endovascular procedure was attempted; however, angiography did not show the collateral route suitable for transcollateral approach. As demonstrated on the CT, we were successful in passing a guidewire through the SMA-CTO via the celiac trunk transcollateral route. After pull-through of the guidewire, two balloon-expandable stents were deployed in the ostium of SMA. During 3 months after stent implantation, the patient had no further episodes of abdominal angina on dual-anti-platelet therapy. Conclusion We demonstrate a case of a heavily calcified SMA occlusion successfully treated with endovascular stenting employing a transcollateral approach, guided by 3D-CT.

Three-dimensional variability of the mesentery and the superior mesenteric artery: application to virtual trauma modeling

2013 ◽  
Vol 36 (4) ◽  
pp. 401-408 ◽  
Author(s):  
Damien Massalou ◽  
Thierry Bège ◽  
Stéphane Bourgouin ◽  
Julien Mancini ◽  
Catherine Masson ◽  
...  
Keyword(s):  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Three Dimensional

scholarly journals Pancreaticoduodenectomy following total occlusion of the superior mesenteric artery: a case report and literature review

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Reo Ohtsuka ◽  
Hodaka Amano ◽  
Michiyo Hashimoto ◽  
Toshiyasu Iwao
Keyword(s):  
Bile Duct ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Collateral Circulation ◽  
Bile Duct Carcinoma ◽  
Three Dimensional ◽  
Celiac Artery ◽  
Total Occlusion ◽  
Duct Carcinoma ◽  
Chronic Occlusion

Abstract Background Patients with chronic occlusion of the celiac artery and superior mesenteric artery (SMA) are often asymptomatic, and occlusion may be caused by arteriosclerosis or median arcuate ligament compression. Pancreaticoduodenectomy (PD) is occasionally performed for patients with celiac artery occlusion; however, reports on patients with SMA occlusion are rare. We report a patient with cholangiocarcinoma and total atherosclerotic occlusion of the SMA without preoperative stenting or bypass. Case presentation A 73-year-old man suspected to have lower bile duct carcinoma was admitted to our hospital for further treatment. Three-dimensional computed tomography (3DCT) showed a common bile duct tumor and total occlusion of the SMA with collateral circulation of the gastroduodenal artery (GDA) and inferior mesenteric artery (IMA). We performed a PD. During the operation, we used test clamping of the GDA, which revealed no bowel ischemia. The postoperative course was uneventful, and the patient was discharged on postoperative day (POD) 30. 3DCT on POD 98 and POD 307 showed development of collateral circulation between the IMA and SMA. Conclusion Here, we report the case of a patient with total occlusion of the SMA who subsequently underwent PD. 3DCT was instrumental in gathering vascular collateral information and thus we conclude that the assessment of collateral circulation before surgery is important.

Synchronous celiac axis and superior mesenteric artery embolism

VASA ◽  
2011 ◽  
Vol 40 (6) ◽  
pp. 495-498 ◽  
Author(s):  
Rajkovic ◽  
Zelic ◽  
Papes ◽  
Cizmek ◽  
Arslani
Keyword(s):  
Atrial Fibrillation ◽  
Small Intestine ◽  
Abdominal Pain ◽  
Ct Scan ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Abdominal Cavity ◽  
Celiac Axis ◽  
Contrast Administration ◽  
Artery Embolism

We present a case of combined celiac axis and superior mesenteric artery embolism in a 70-year-old patient that was examined in emergency department for atrial fibrillation and diffuse abdominal pain. Standard abdominal x-ray showed air in the portal vein. CT scan with contrast showed air in the lumen of the stomach and small intestine, bowel distension with wall thickening, and a free gallstone in the abdominal cavity. Massive embolism of both celiac axis and superior mesenteric artery was seen after contrast administration. On laparotomy, complete necrosis of the liver, spleen, stomach and small intestine was found. Gallbladder was gangrenous and perforated, and the gallstone had migrated into the abdominal cavity. We found free air that crackled on palpation of the veins of the gastric surface. The patient’s condition was incurable and she died of multiple organ failure a few hours after surgery. Acute visceral thromboembolism should always be excluded first if a combination of atrial fibrillation and abdominal pain exists. Determining the serum levels of d-dimers and lactate, combined with CT scan with contrast administration can, in most cases, confirm the diagnosis and lead to faster surgical intervention. It is crucial to act early on clinical suspicion and not to wait for the development of hard evidence.

The Distribution of Vasculokinase in Human Blood Vessels

1962 ◽  
Vol 08 (01) ◽  
pp. 096-100
Author(s):  
Marvin Murray ◽  
Robert Johnson
Keyword(s):  
Inferior Vena Cava ◽  
Superior Mesenteric Artery ◽  
Blood Vessels ◽  
Human Blood ◽  
Iliac Artery ◽  
Popliteal Artery ◽  
Mesenteric Artery ◽  
Inferior Vena ◽  
Vena Cava ◽  
High Concentrations

Summary133 blood vessels were evaluated for vasculokinase concentration in the freshly morbid state. High concentrations of activity were found in the aorta, iliac artery, superior mesenteric artery and popliteal artery. Activity was occasionally found in the inferior vena cava and common iliacs veins. Other vessels evaluated had no activity. Evaluation of the data with respect to vas-culokinase activity and atherosclerosis suggests higher levels of vasculokinase in those vessels having atherosclerosis.

Sign in / Sign up

Export Citation Format

Share Document