Duplo aneurisma de artéria mesentérica superior: relato de caso / Double aneurysm of the superior mesenteric artery: case report
J. vasc. bras
;
17(4): 328-332, out.-dez. 2018. ilus
Article
in Portuguese
| LILACS
| ID: biblio-969168
RESUMO
Os aneurismas de artéria mesentérica superior são raros, representando menos de 0,5% de todos os aneurismas intra-abdominais. São causados principalmente por aterosclerose e por êmbolos sépticos decorrentes de endocardite bacteriana. Apesar de incomuns, são considerados graves, devido a possíveis complicações como ruptura com hemorragia e isquemia intestinal. Com consequências potencialmente devastadoras, o diagnóstico e o tratamento em tempo hábil são essenciais para se otimizarem os resultados. Ainda sem um consenso bem definido, os tratamentos propostos envolvem cirurgia convencional, terapia endovascular e conduta expectante com exames periódicos. Este trabalho relata o caso de um homem de 58 anos, assintomático, com achado incidental e incomum de dois aneurismas de artéria mesentérica superior. Perante uma anatomia desfavorável à abordagem endovascular, foi realizado o tratamento cirúrgico aberto, utilizando-se prótese de dácron na reconstrução arterial, com sucesso
ABSTRACT
Superior mesenteric artery aneurysms are rare, accounting for less than 0.5% of all intra-abdominal aneurysms. They are mainly caused by atherosclerosis and septic emboli resulting from bacterial endocarditis. Although uncommon, these aneurysms are considered dangerous because of possible complications such as rupture with hemorrhage and intestinal ischemia. Since the consequences can be very serious, early diagnosis and treatment are essential to improve outcomes. Although there is no well-defined consensus, recommended treatments include open surgery, endovascular therapy, and watchful waiting with periodic examinations. In this article we report the case of an asymptomatic 58-year-old man with an incidental and unusual finding of two superior mesenteric artery aneurysms. Since anatomy was not favorable for an endovascular approach, open surgery was performed, using a dacron graft to successfully repair the artery
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Mesenteric Artery, Superior
/
Endovascular Procedures
/
Aneurysm
Type of study:
Diagnostic study
/
Screening study
Limits:
Humans
/
Male
Language:
Portuguese
Journal:
J. vasc. bras
Journal subject:
Cardiology
Year:
2018
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Hospital Regional de São José Homero de Miranda Gomes/BR
/
Instituto de Cardiologia de Santa Catarina/BR
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