Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492010000300016
Jornal Vascular Brasileiro
Case Report

Tratamento endovascular de pseudoaneurisma de artéria mesentérica superior: relato de caso

Endovascular treatment for superior mesenteric artery pseudoaneurysm: case report

Felipe Nasser; Breno Boueri Affonso; Seleno Glauber de Jesus-Silva; Raimundo Teixeira de Araújo Júnior; Mário Sérgio Duarte Andrioli; Juliana Carvalho de Campos; Rogério Carballo Afonso; Ben-Hur Ferraz-Neto

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Resumo

O pseudoaneurisma de artéria mesentérica superior é uma doença rara, porém com alta taxa de ruptura e mortalidade. Sua etiologia geralmente é infecciosa e comumente o diagnóstico é feito por meio de achado nos exames de imagem. Historicamente, seu tratamento de eleição tem sido o reparo cirúrgico aberto; entretanto, é associado a inúmeras complicações e dificuldades técnicas. Relatamos um caso de pseudoaneurisma de artéria mesentérica superior em um paciente portador de abscesso hepático no qual, após resolução do processo infeccioso, foi empregado, com sucesso, um tratamento minimamente invasivo endovascular, com implante de micromolas e stent não-recoberto.

Palavras-chave

Artéria mesentérica superior, falso aneurisma, embolização terapêutica

Abstract

Pseudoaneurysm of the superior mesenteric artery is a rare disease, however it is associated to a high incidence of rupture and mortality. The etiology is usually infectious and the diagnosis is commonly made by means of occasional imaging. Historically, the treatment of choice has been open surgical repair; however it is associated to numerous complications and technical difficulties. We reported a case of a pseudoaneurysm of superior mesenteric artery in a patient with liver abscess who, after resolution of infection, underwent successfully a minimally invasive endovascular approach, with deployment of microcoils and bare stent.

Keywords

Mesenteric artery, superior, aneurysm, false, embolization, therapeutic

References

Zelenock G, Stanley J. Splanchnic artery aneurysms. Vascular surgery. 2000:1124-39.

Mattar SG, Lumsden AB. The management of splenic artery aneurysms: experience with 23 cases. Am J Surg. 1995;169:580-4.

Dziuban EJ, Teitelbaum DH, Bakhtyar A. Mesenteric pseudoaneurysm and cerebral stroke as sequelae of infective endocarditis in an adolescent. J Pediatr Surg. 2008;43:1923-7.

Yan SL, Wu HS, Chou DA. Pseudoaneurysm of superior mesentery artery branch after renal extracorporeal shock wave lithotripsy: case report and review. J Trauma. 2007;62:770-4.

Zimmerman-Klima PM, Wixon CL, Bogey WM Jr, Lalikos JF, Powell CS. Considerations in the management of aneurysms of the superior mesenteric artery. Ann Vasc Surg. 2000;14:410-4.

Abbas MA, Stone WM, Fowl RJ. Splenic artery aneurysms: two decades experience at Mayo clinic. Ann Vasc Surg. 2002;16:442-9.

Tulsyan N, Kashyap VS, Greenberg RK. The endovascular management of visceral artery aneurysms and pseudoaneurysms. J Vasc Surg. 2007;45:276-83.

Stone WM, Abbas MA, Cherry KJ, Fowl RJ, Gloviczki P. Superior mesenteric artery aneurysms: is presence an indication for intervention?. J Vasc Surg. 2002;36:234-7.

Tessier DJ, Abbas MA, Fowl RJ. Management of rare mesenteric arterial branch aneurysms. Ann Vasc Surg. 2002;16:586-0.

Yeo KK, Dawson DL, Brooks JL, Laird JR. Percutaneous treatment of a large superior mesenteric artery pseudoaneurysm and arteriovenous fistula: a case report. J Vasc Surg. 2008;48:730-4.

Suzuki K, Mori Y, Komada T, Matsushima M, Ota T, Naganawa S. Stent-graft treatment for bleeding superior mesenteric artery pseudoaneurysm after pancreaticoduodenectomy. Cardiovasc Intervent Radiol. 2009;32:762-6.

Ozaki T, Kimura M, Yoshimura N. Endovascular treatment of spontaneous isolated dissecting aneurysm of the superior mesenteric artery using stent-assisted coil embolization. Cardiovasc Intervent Radiol. 2006;29:435-7.

Tan M, Di Carlo A, Stein LA, Cantarovich M, Tchervenkov JI, Metrakos P. Pseudoaneurism of the superior mesenteric artery after pancreas transplantation treated by endovascular stenting. Transplantation. 2001;72:336-8.

Juszkat R, Krasiński Z, Wykrętowicz M, Staniszewski R, Majewski W. Transarterial thrombin injection secured with an embolic protection device as a treatment for a superior mesenteric artery pseudoaneurysm. Cardiovasc Intervent Radiol. 2010.

Grego FG, Lepidi S, Ragazzi R, Iurilli V, Stramanà R, Deriu GP. Visceral artery aneurysms: a single center experience. Cardiovasc Surg. 2003;11:19-25.

Carmeci C, McClenathan J. Visceral artery aneurysms as seen in a community hospital. Am J Surg. 2000;179:486-9.

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