Published in:
01-11-2008 | Case Report
Endovascular Management of Superior Mesenteric Artery Pseudoaneurysm and Fistula
Authors:
Govindarajan Narayanan, Geetika Mohin, Katuska Barbery, Daniel Lamus, Kunal Nanavati, Jose M. Yrizarry
Published in:
CardioVascular and Interventional Radiology
|
Issue 6/2008
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Abstract
The uncommon presentation of an arterioportal fistula (APF) involving the superior mesenteric artery (SMA) associated with a pseudoaneurysm represents a therapeutic challenge. We present the case of a 24-year-old female admitted to the hospital after multiple gunshot wounds to the abdomen; the patient underwent multiple surgeries and, in the process, developed a SMA pseudoaneurysm and fistula. The vascular interventional radiology team was consulted for treatment of the pseudoaneurysm and fistula. A covered stent was inserted percutaneously to exclude the APF and the pseudoaneurysm in a single procedure. The patient returned to our service after 21 months for a follow-up CT scan, which demonstrated the stent and the distal vasculature to be patent.