Giant Superior Mesenteric Artery Aneurysm Treated by Endovascular Treatment in a Very Elderly Female.

Abstract

Superior mesenteric artery (SMA) aneurysms (SMAAs) are rare and account for approximately 7% of all visceral artery aneurysms. If the anatomical complexity permits and the patency of organ perfusion is allowed, then an endovascular approach is the first choice for minimally invasive procedures. We report the case of a 92-year-old female with a giant SMAA and challenging anatomy, including a short proximal sealing zone from the origin of the SMA and a short distal sealing zone from the hepatic artery bifurcation. In view of her advanced age, she was treated endovascularly with covered stents. Reintervention was required to correct a postoperative endoleak; however, a favorable outcome was achieved with endovascular therapy.

• Authors: Ryo Okubo, Shinsuke Kikuchi, Norifumi Otani, Masahiro Tsutsui, Hiroyuki Kamiya
• Journal: Vascular specialist international (Vasc Specialist Int) Vol. 39 Pg. 10 (May 15 2023) ISSN: 2288-7970 [Print] Korea (South)
• PMID: 37183356 (Publication Type: Case Reports)