A case of spontaneous isolated superior mesenteric arterial dissection with coeliac axis stenosis

Cardiovasc J Afr. 2023;34(5):318-320. doi: 10.5830/CVJA-2022-066. Epub 2023 Mar 10.

Abstract

Spontaneous isolated superior mesenteric arterial dissection with coeliac axis stenosis is rare but serious. We report a case of a 54-year-old male with coeliac axis stenosis who presented with acute superior mesenteric arterial dissection, which caused thrombosis of the branches. This is the first report of the full course of treatment using endovascular repair and laparoscopic surgery to deal with spontaneous isolated superior mesenteric arterial dissection combined with coeliac axis stenosis. This approach has been shown to be safe and effective for yielding short-term results.

Keywords: coeliac axis stenosis; isolated visceral arterial dissection; spontaneous isolated superior mesenteric arterial dissection.

Publication types

  • Case Reports

MeSH terms

  • Aortic Dissection* / complications
  • Aortic Dissection* / diagnostic imaging
  • Aortic Dissection* / etiology
  • Aortic Dissection* / surgery
  • Celiac Artery* / diagnostic imaging
  • Celiac Artery* / surgery
  • Computed Tomography Angiography
  • Constriction, Pathologic
  • Dissection, Blood Vessel
  • Endovascular Procedures / instrumentation
  • Humans
  • Laparoscopy
  • Male
  • Mesenteric Artery, Superior* / diagnostic imaging
  • Mesenteric Artery, Superior* / surgery
  • Mesenteric Vascular Occlusion / diagnostic imaging
  • Mesenteric Vascular Occlusion / etiology
  • Mesenteric Vascular Occlusion / physiopathology
  • Mesenteric Vascular Occlusion / surgery
  • Middle Aged
  • Stents
  • Thrombosis / diagnostic imaging
  • Thrombosis / etiology
  • Thrombosis / surgery
  • Treatment Outcome