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Endovascular Management of Superior Mesenteric Artery Pseudoaneurysm and Fistula

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Abstract

The uncommon presentation of an arterioportal fistula (APF) involving the superior mesenteric artery (SMA) associated with a pseudoaneurysm represents a therapeutic challenge. We present the case of a 24-year-old female admitted to the hospital after multiple gunshot wounds to the abdomen; the patient underwent multiple surgeries and, in the process, developed a SMA pseudoaneurysm and fistula. The vascular interventional radiology team was consulted for treatment of the pseudoaneurysm and fistula. A covered stent was inserted percutaneously to exclude the APF and the pseudoaneurysm in a single procedure. The patient returned to our service after 21 months for a follow-up CT scan, which demonstrated the stent and the distal vasculature to be patent.

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Authors and Affiliations

  1. Department of Radiology, University of Miami/Jackson Memorial Hospital, 1611 NW 12th Avenue, Room WW 279, Miami, FL, 33136, USA

    Govindarajan Narayanan & Kunal Nanavati

  2. Department of Radiology, Jackson Memorial Hospital, 1611 NW 12th Street, Miami, FL, 33136, USA

    Geetika Mohin

  3. Department of Radiology, University of Miami, 1611 NW 12th Avenue, Room WW 279, Miami, FL, 33136, USA

    Katuska Barbery

  4. Resident of Department of Surgery, Jackson Memorial Hospital, 1611 NW 12th Avenue, Room WW 279, Miami, FL, 33136, USA

    Daniel Lamus

  5. Department of Vascular/Interventional Radiology, University of Miami/Jackson Memorial Hospital, 1611 NW 12th Avenue, Room WW 279, Miami, FL, 33136, USA

    Jose M. Yrizarry

Authors
  1. Govindarajan Narayanan
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  2. Geetika Mohin
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  3. Katuska Barbery
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  4. Daniel Lamus
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  5. Kunal Nanavati
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  6. Jose M. Yrizarry
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Correspondence to Govindarajan Narayanan.

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Narayanan, G., Mohin, G., Barbery, K. et al. Endovascular Management of Superior Mesenteric Artery Pseudoaneurysm and Fistula. Cardiovasc Intervent Radiol 31, 1239–1243 (2008). https://doi.org/10.1007/s00270-008-9354-0

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  • DOI: https://doi.org/10.1007/s00270-008-9354-0

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