scholarly journals Preoperative Planning for Superior Mesenteric Artery Aneurysm

2021 ◽  
Vol 11 (21) ◽  
pp. 10311
Author(s):  
Cristiana Iulia Dumitrescu ◽  
Catalin Ciobirca ◽  
Radu Teodoru Popa ◽  
Daniela Dumitrescu ◽  
Cornel Gheorghe Tambura ◽  
...  
Keyword(s):  
Superior Mesenteric Artery ◽  
Surgical Procedures ◽  
Mesenteric Artery ◽  
Preoperative Planning ◽  
Artery Aneurysm ◽  
Software Platform ◽  
3D Rendering ◽  
Area Of Interest ◽  
Careful Preparation ◽  
Automated Measurements

Surgical procedures on various artery aneurysms are difficult to perform and require careful preparation. We have developed and now present in this paper a software platform, CardioCTNav, that can help in planning such procedures. The planning consists of a 3D rendering of the area of interest, virtual angiography, automated measurements, and virtual stent simulation.

scholarly journals Visceral Mycotic Aneurysm: Superior Mesenteric Artery Aneurysm Caused by K. pneumoniae

2021 ◽  
pp. 1-4
Author(s):  
Reham Almasoud ◽  
Alaaeddin Nwilati ◽  
Saeb Bayazid ◽  
Mamoun Shafaamri
Keyword(s):  
Infectious Disease ◽  
Antibiotic Therapy ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Mycotic Aneurysm ◽  
Artery Aneurysm ◽  
Management Plan ◽  
Resected Tissue ◽  
Infectious Disease Specialists

We herein report a rare case of mycotic aneurysm of the superior mesenteric artery caused by <i>Klebsiella pneumoniae</i>. A 66-year-old man, a known case of hypertension and aorto-oesophageal fistula with stented aorta in 2010 and 2018, presented to the emergency department multiple times over 2 months with severe postprandial abdominal pain associated with vomiting and fever. On his last presentation, the obtained blood cultures grew ESBL positive <i>K. pneumoniae</i> and a repeated computed tomography (CT) showed a growing aneurysm at the origin of the ileocecal branch of the superior mesenteric artery measuring 17 × 10 mm (the aneurysm was 8 × 7.5 mm in the CT angiography on the previous admission). Extensive workup did not reveal the underlying cause of the mycotic aneurysm, thus we believe the cause to be the infected aortic stent, leading to bacteraemia and vegetations to the mesenteric artery causing the aneurysm. The management plan was placed by a multidisciplinary team consisting of vascular surgeons and infectious disease specialists along with review from a dietician to evaluate the patient’s nutritional status. The patient was started on total parenteral nutrition due to his postprandial pain and on antibiotic therapy according to the infectious disease team’s recommendation. He underwent surgical resection of the mycotic aneurysm, which showed a thrombosed aneurysm in the jejunoileal mesenteric area. The histopathology of the resected tissue demonstrated inflammatory aneurysm of the mesenteric artery. Following the surgery, the patient continued his antibiotic therapy and was discharged on the 13th post-operative day with follow-up appointments in the vascular surgery and infectious disease clinic.

Anomalous splenic artery aneurysm

Vascular ◽  
2013 ◽  
Vol 21 (2) ◽  
pp. 105-108 ◽  
Author(s):  
Sydney S N Wong ◽  
T F Lindsay ◽  
G Roche-Nagle
Keyword(s):  
Superior Mesenteric Artery ◽  
Surgical Resection ◽  
Surgical Management ◽  
Mesenteric Artery ◽  
Splenic Artery ◽  
Artery Aneurysm ◽  
Anomalous Origin ◽  
Splenic Artery Aneurysm ◽  
Visceral Aneurysm ◽  
Preservation Of The Spleen

Aneurysms of the splenic artery are the most common visceral aneurysm. A splenomesenteric trunk, which involves the splenic artery arising from the superior mesenteric artery (SMA), is rare and occurs in less than 1% of patients. Thus splenic artery aneurysms (SAAs) with an anomalous origin from the SMA are quite rare. We report our experience with the surgical management of a 2.6-cm aneurysm involving a splenic artery arising from the SMA in a 40-year-old woman. This was treated with surgical resection with preservation of the spleen. A discussion about SAAs and the management of aneurysms arising from a splenomesenteric trunk follows.

Superior Mesenteric Artery Aneurysm Caused by Aortic Valve Endocarditis

2016 ◽  
Vol 50 (2) ◽  
pp. 88-93 ◽  
Author(s):  
Alessandro de Troia ◽  
Francesca Mottini ◽  
Lukla Biasi ◽  
Matteo Azzarone ◽  
Tiziano Tecchio ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Artery Aneurysm
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