Endovascular Management of Superior Mesenteric Artery Pseudoaneurysm and Fistula
- University of Miami/Jackson Memorial Hospital, Department of Radiology (United States)
- Jackson Memorial Hospital, Department of Radiology (United States)
- University of Miami, Department of Radiology (United States)
- Jackson Memorial Hospital, Resident of Department of Surgery (United States)
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.
- OSTI ID:
- 21426340
- Journal Information:
- Cardiovascular and Interventional Radiology, Vol. 31, Issue 6; Other Information: DOI: 10.1007/s00270-008-9354-0; Copyright (c) 2008 Springer Science+Business Media, LLC; ISSN 0174-1551
- Country of Publication:
- United States
- Language:
- English
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