Document Detail

Endovascular management of superior mesenteric artery pseudoaneurysm and fistula.
MedLine Citation:
PMID:  18473136     Owner:  NLM     Status:  MEDLINE    
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.
Govindarajan Narayanan; Geetika Mohin; Katuska Barbery; Daniel Lamus; Kunal Nanavati; Jose M Yrizarry
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-05-14
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  31     ISSN:  1432-086X     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2008 Nov-Dec
Date Detail:
Created Date:  2008-11-07     Completed Date:  2009-03-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1239-43     Citation Subset:  IM    
Department of Radiology, University of Miami/Jackson Memorial Hospital, 1611 NW 12th Avenue, Room WW 279, Miami, FL 33136, USA.
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MeSH Terms
Aneurysm, False / radiography,  therapy*
Angiography, Digital Subtraction
Arteriovenous Fistula / radiography,  therapy*
Mesenteric Artery, Superior*
Radiography, Interventional
Tomography, X-Ray Computed
Vascular Patency
Wounds, Gunshot / radiography,  therapy*

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