Superior mesenteric artery embolism effectively treated with endovascular methods &#8212; case study

Wojciech Kozłowski; Adam Uryniak

Vol 14, No 1-2 (2012)

Case reports

Published online: 2012-11-19

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Superior mesenteric artery embolism effectively treated with endovascular methods — case study

Wojciech Kozłowski, Adam Uryniak

Chirurgia Polska 2012;14(1-2):118-125.

Vol 14, No 1-2 (2012)

Case reports

Published online: 2012-11-19

Abstract

The study presents a case of superior mesenteric artery embolism in a 74-year-old man, successfully treated with endovascular methods. The patient had a history of cardiovascular system diseases, had recently incurred cerebral stroke and had fixed atrial fibrillation. In the course of a percutaneous surgery, balloon angioplasty and guided thrombolysis with the use of rt-PA were performed and a self-expanding stent was implanted, which resulted in a fully restored patency of the superior mesenteric artery as confirmed in the follow-up arteriography. Additional factors which created favourable conditions for the achievement of good results included: a short 7-hour period of collecting clinical data, early angio-CT of the celiac arteries and no peritoneal symptoms in the physical examination. Imaging examinations demonstrated an anatomical variety involving common origin of the celiac trunk and the superior mesenteric artery from the abdominal aorta (celiac-mesenteric trunk).