Incidentally detected giant superior mesenteric artery aneurysm in a patient with suspected mantle cell lymphoma
Superior mesenteric artery aneurysm (SMAA) appears as a rare and insidious disease with a high mortality rate reaching up to 90% in case of its rupture. SMAA often presents as symptomatic at the time of detection with symptoms similar to common abdominal emergencies. This case report concerns a 67-y...
| 出版年: | Acta Angiologica |
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| 主要な著者: | , , , , |
| フォーマット: | 論文 |
| 言語: | 英語 |
| 出版事項: |
Via Medica
2025-06-01
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| 主題: | |
| オンライン･アクセス: | https://journals.viamedica.pl/acta_angiologica/article/view/106237 |
| 要約: | Superior mesenteric artery aneurysm (SMAA) appears as a rare and insidious disease with a high mortality rate reaching up to 90% in case of its rupture. SMAA often presents as symptomatic at the time of detection with symptoms similar to common abdominal emergencies. This case report concerns a 67-year-old male patient who presented with asymptomatic SMAA detected accidentally during hematological investigations for mantle cell lymphoma. Computed tomography angiography confirmed the diagnosis with a measurement of SMAA size of 54 × 44 mm. As a first treatment line endovascular approach had been involved, however, the closeness of two SMA major tributaries to the aneurysmal sac unabled safe endovascular SMAA repair. Open surgical SMAA repair was then performed with implantation of vascular prosthesis that led to the exclusion of the aneurysm and maintaining proper visceral perfusion. According to the current guidelines, the endovascular intervention was initially applied as a promising and less morbid procedure; however, open surgery appeared to be the most suitable technique for the aforementioned case. |
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| ISSN: | 1234-950X 1644-3276 |