Skip to main content
Top
Published in: Journal of Medical Case Reports 1/2010

Open Access 01-12-2010 | Case report

Spontaneous dissection of the superior mesenteric artery and the right hepatic artery: a case report

Authors: Nicolas C Buchs, Pierre Charbonnet, Frank Schwenter, Christoph D Becker, Philippe Morel, Sylvain Terraz

Published in: Journal of Medical Case Reports | Issue 1/2010

Login to get access

Abstract

Introduction

Isolated spontaneous dissection of the superior mesenteric artery is a very rare condition. Endovascular stent placement has been proposed recently for selected cases, which has led to some good clinical results.

Case presentation

We report a case of spontaneous dissection of the superior mesenteric artery spreading to the origin of a right hepatic artery in a 48-year-old Chinese man. He benefited from the placement of an endovascular stent that yielded excellent results.

Conclusion

Endovascular stent placement is a good alternative treatment for dissection of the superior mesenteric artery. We propose an algorithm for the management of this rare condition.
Appendix
Available only for authorised users
Literature
1.
go back to reference Takayama H, Takeda S, Saitoh SK, Hayashi H, Takano T, Tanaka K: Spontaneous isolated dissection of the superior mesenteric artery. Intern Med. 2002, 41 (9): 713-716. 10.2169/internalmedicine.41.713.CrossRefPubMed Takayama H, Takeda S, Saitoh SK, Hayashi H, Takano T, Tanaka K: Spontaneous isolated dissection of the superior mesenteric artery. Intern Med. 2002, 41 (9): 713-716. 10.2169/internalmedicine.41.713.CrossRefPubMed
2.
go back to reference Miyamoto N, Sakurai Y, Hirokami M, Takahashi K, Nishimori H, Tsuji K, Kang JH, Maguchi H: Endovascular stent placement for isolated spontaneous dissection of the superior mesenteric artery: report of a case. Radiat Med. 2005, 23 (7): 520-524.PubMed Miyamoto N, Sakurai Y, Hirokami M, Takahashi K, Nishimori H, Tsuji K, Kang JH, Maguchi H: Endovascular stent placement for isolated spontaneous dissection of the superior mesenteric artery: report of a case. Radiat Med. 2005, 23 (7): 520-524.PubMed
3.
go back to reference Bauerfeld S, Jackson F: Dissecting aneurysm of the aorta: a presentation of 15 cases and a review of the recent literature. Ann Intern Med. 1947, 26: 873-889.CrossRef Bauerfeld S, Jackson F: Dissecting aneurysm of the aorta: a presentation of 15 cases and a review of the recent literature. Ann Intern Med. 1947, 26: 873-889.CrossRef
4.
go back to reference Iha K, Nakasone Y, Nakachi H, Horikawa Y, Gushiken M, Matsuda H: Surgical treatment of spontaneous dissection of the superior mesenteric artery: a case report. Ann Thorac Cardiovasc Surg. 2000, 6 (1): 65-69.PubMed Iha K, Nakasone Y, Nakachi H, Horikawa Y, Gushiken M, Matsuda H: Surgical treatment of spontaneous dissection of the superior mesenteric artery: a case report. Ann Thorac Cardiovasc Surg. 2000, 6 (1): 65-69.PubMed
5.
go back to reference Solis MM, Ranval TJ, McFarland DR, Eidt JF: Surgical treatment of superior mesenteric artery dissecting aneurysm and simultaneous celiac artery compression. Ann Vasc Surg. 1993, 7 (5): 457-462. 10.1007/BF02002130.CrossRefPubMed Solis MM, Ranval TJ, McFarland DR, Eidt JF: Surgical treatment of superior mesenteric artery dissecting aneurysm and simultaneous celiac artery compression. Ann Vasc Surg. 1993, 7 (5): 457-462. 10.1007/BF02002130.CrossRefPubMed
6.
go back to reference Sakamoto I, Ogawa Y, Sueyoshi E, Fukui K, Murakami T, Uetani M: Imaging appearances and management of isolated spontaneous dissection of the superior mesenteric artery. Eur J Radiol. 2007, 64 (1): 103-110. 10.1016/j.ejrad.2007.05.027.CrossRefPubMed Sakamoto I, Ogawa Y, Sueyoshi E, Fukui K, Murakami T, Uetani M: Imaging appearances and management of isolated spontaneous dissection of the superior mesenteric artery. Eur J Radiol. 2007, 64 (1): 103-110. 10.1016/j.ejrad.2007.05.027.CrossRefPubMed
7.
go back to reference Nagai T, Torishima R, Uchida A, Nakashima H, Takahashi K, Okawara H, Oga M, Suzuki K, Miyamoto S, Sato R, Murakami K, Fujioka T: Spontaneous dissection of the superior mesenteric artery in four cases treated with anticoagulation therapy. Intern Med. 2004, 43 (6): 473-478. 10.2169/internalmedicine.43.473.CrossRefPubMed Nagai T, Torishima R, Uchida A, Nakashima H, Takahashi K, Okawara H, Oga M, Suzuki K, Miyamoto S, Sato R, Murakami K, Fujioka T: Spontaneous dissection of the superior mesenteric artery in four cases treated with anticoagulation therapy. Intern Med. 2004, 43 (6): 473-478. 10.2169/internalmedicine.43.473.CrossRefPubMed
8.
go back to reference Yoon YW, Choi D, Cho SY, Lee DY: Successful treatment of isolated spontaneous superior mesenteric artery dissection with stent placement. Cardiovasc Intervent Radiol. 2003, 26 (5): 475-478. 10.1007/s00270-003-0002-4.CrossRefPubMed Yoon YW, Choi D, Cho SY, Lee DY: Successful treatment of isolated spontaneous superior mesenteric artery dissection with stent placement. Cardiovasc Intervent Radiol. 2003, 26 (5): 475-478. 10.1007/s00270-003-0002-4.CrossRefPubMed
9.
go back to reference Leung DA, Schneider E, Kubik-Huch R, Marincek B, Pfammatter T: Acute mesenteric ischemia caused by spontaneous isolated dissection of the superior mesenteric artery: treatment by percutaneous stent placement. Eur Radiol. 2000, 10 (12): 1916-1919. 10.1007/s003300000520.CrossRefPubMed Leung DA, Schneider E, Kubik-Huch R, Marincek B, Pfammatter T: Acute mesenteric ischemia caused by spontaneous isolated dissection of the superior mesenteric artery: treatment by percutaneous stent placement. Eur Radiol. 2000, 10 (12): 1916-1919. 10.1007/s003300000520.CrossRefPubMed
10.
go back to reference Froment P, Alerci M, Vandoni RE, Bogen M, Gertsch P, Galeazzi G: Stenting of a spontaneous dissection of the superior mesenteric artery: a new therapeutic approach?. Cardiovasc Intervent Radiol. 2004, 27 (5): 529-532. 10.1007/s00270-003-0158-y.CrossRefPubMed Froment P, Alerci M, Vandoni RE, Bogen M, Gertsch P, Galeazzi G: Stenting of a spontaneous dissection of the superior mesenteric artery: a new therapeutic approach?. Cardiovasc Intervent Radiol. 2004, 27 (5): 529-532. 10.1007/s00270-003-0158-y.CrossRefPubMed
11.
go back to reference Kim JH, Roh BS, Lee YH, Choi SS, So BJ: Isolated spontaneous dissection of the superior mesenteric artery: percutaneous stent placement in two patients. Korean J Radiol. 2004, 5 (2): 134-138. 10.3348/kjr.2004.5.2.134.CrossRefPubMedPubMedCentral Kim JH, Roh BS, Lee YH, Choi SS, So BJ: Isolated spontaneous dissection of the superior mesenteric artery: percutaneous stent placement in two patients. Korean J Radiol. 2004, 5 (2): 134-138. 10.3348/kjr.2004.5.2.134.CrossRefPubMedPubMedCentral
12.
go back to reference Yasuhara H, Shigematsu H, Muto T: Self-limited spontaneous dissection of the main trunk of the superior mesenteric artery. J Vasc Surg. 1998, 27 (4): 776-779. 10.1016/S0741-5214(98)70250-2.CrossRefPubMed Yasuhara H, Shigematsu H, Muto T: Self-limited spontaneous dissection of the main trunk of the superior mesenteric artery. J Vasc Surg. 1998, 27 (4): 776-779. 10.1016/S0741-5214(98)70250-2.CrossRefPubMed
13.
go back to reference Sparks SR, Vasquez JC, Bergan JJ, Owens EL: Failure of non-operative management of isolated superior mesenteric artery dissection. Ann Vasc Surg. 2000, 14 (2): 105-109. 10.1007/s100169910019.CrossRefPubMed Sparks SR, Vasquez JC, Bergan JJ, Owens EL: Failure of non-operative management of isolated superior mesenteric artery dissection. Ann Vasc Surg. 2000, 14 (2): 105-109. 10.1007/s100169910019.CrossRefPubMed
14.
go back to reference Furukawa H, Moriyama N: Spontaneous dissection of the superior mesenteric artery diagnosed on multi-detector helical CT. J Comput Assist Tomogr. 2002, 26 (1): 143-144. 10.1097/00004728-200201000-00025.CrossRefPubMed Furukawa H, Moriyama N: Spontaneous dissection of the superior mesenteric artery diagnosed on multi-detector helical CT. J Comput Assist Tomogr. 2002, 26 (1): 143-144. 10.1097/00004728-200201000-00025.CrossRefPubMed
15.
go back to reference Sheldon PJ, Esther JB, Sheldon EL, Sparks SR, Brophy DP, Oglevie SB: Spontaneous dissection of the superior mesenteric artery. Cardiovasc Intervent Radiol. 2001, 24 (5): 329-331. 10.1007/s00270-001-2565-0.CrossRefPubMed Sheldon PJ, Esther JB, Sheldon EL, Sparks SR, Brophy DP, Oglevie SB: Spontaneous dissection of the superior mesenteric artery. Cardiovasc Intervent Radiol. 2001, 24 (5): 329-331. 10.1007/s00270-001-2565-0.CrossRefPubMed
16.
go back to reference Karacagil S, Hardemark HG, Bergqvist D: Spontaneous internal carotid artery dissection. Review. Int Angiol. 1996, 15 (4): 291-294.PubMed Karacagil S, Hardemark HG, Bergqvist D: Spontaneous internal carotid artery dissection. Review. Int Angiol. 1996, 15 (4): 291-294.PubMed
17.
go back to reference Gobble RM, Brill ER, Rockman CB, Hecht EM, Lamparello PJ, Jacobowitz GR, Maldonado TS: Endovascular treatment of spontaneous dissections of the superior mesenteric artery. J Vasc Surg. 2009, 50 (6): 1326-1332. 10.1016/j.jvs.2009.07.019.CrossRefPubMed Gobble RM, Brill ER, Rockman CB, Hecht EM, Lamparello PJ, Jacobowitz GR, Maldonado TS: Endovascular treatment of spontaneous dissections of the superior mesenteric artery. J Vasc Surg. 2009, 50 (6): 1326-1332. 10.1016/j.jvs.2009.07.019.CrossRefPubMed
18.
go back to reference Ozaki T, Kimura M, Yoshimura N, Hori Y, Takano T, Kamura T, Yamamoto S, Sasai K: Endovascular treatment of spontaneous isolated dissecting aneurysm of the superior mesenteric artery using stent-assisted coil embolization. Cardiovasc Intervent Radiol. 2006, 29 (3): 435-437. 10.1007/s00270-005-0067-3.CrossRefPubMed Ozaki T, Kimura M, Yoshimura N, Hori Y, Takano T, Kamura T, Yamamoto S, Sasai K: Endovascular treatment of spontaneous isolated dissecting aneurysm of the superior mesenteric artery using stent-assisted coil embolization. Cardiovasc Intervent Radiol. 2006, 29 (3): 435-437. 10.1007/s00270-005-0067-3.CrossRefPubMed
Metadata
Title
Spontaneous dissection of the superior mesenteric artery and the right hepatic artery: a case report
Authors
Nicolas C Buchs
Pierre Charbonnet
Frank Schwenter
Christoph D Becker
Philippe Morel
Sylvain Terraz
Publication date
01-12-2010
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2010
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-4-87

Other articles of this Issue 1/2010

Journal of Medical Case Reports 1/2010 Go to the issue