CardioVascular and Interventional Radiology

, Volume 28, Issue 1, pp 102–106 | Cite as

Endovascular Treatment of a Giant Superior Mesenteric Artery Pseudoaneurysm Using a Nitinol Stent-Graft

  • Roberto Gandini
  • Vincenzo Pipitone
  • Daniel Konda
  • Gianluca Pendenza
  • Alessio Spinelli
  • Matteo Stefanini
  • Giovanni Simonetti
CASE REPORT
First Online:

Abstract

A 68-year-old woman presenting with gastrointestinal bleeding (hematocrit 19.3%) and in a critical clinical condition (American Society of Anesthesiologists grade 4) from a giant superior mesenteric artery pseudoaneurysm (196.0 × 131.4 mm) underwent emergency endovascular treatment. The arterial tear supplying the pseudoaneurysm was excluded using a 5.0 mm diameter and 31 mm long monorail expanded polytetrafluoroethylene (ePTFE)-covered self-expanding nitinol stent. Within 6 days of the procedure, a gradual increase in hemoglobin levels and a prompt improvement in the clinical condition were observed. Multislice CT angiograms performed immediately, 5 days, 30 days and 3 months after the procedure confirmed the complete exclusion of the pseudoaneurysm.

Pseudoaneurysm Stent-graft Superior mesenteric artery Covered stent Giant pseudoaneurysm Pancreatitis 
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Copyright information

© Springer-Verlag New York, LLC. 2004

Authors and Affiliations

  • Roberto Gandini
    • 1
  • Vincenzo Pipitone
    • 1
  • Daniel Konda
    • 1
  • Gianluca Pendenza
    • 1
  • Alessio Spinelli
    • 1
  • Matteo Stefanini
    • 1
  • Giovanni Simonetti
    • 1
  1. 1.Diagnostic Imaging and Interventional RadiologyUniversity of Tor VergataRomeItaly

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