Background
Acute mesenteric ischemia (AMI) is an abdominal emergency caused by: embolism (40-50%), with Superior Mesenteric Artery (SMA) thrombosis (20-25%), mesenteric venous thrombosis (5%) and non occlusive mesenteric ischemia (20%). The mortality rate is high and ranges from 64 to 93%.
Methods
We present a case of a 75-year-old patient with acute occlusive mesenteric ischemia that was successfully treated with endovascular intervention.
Angiography revealed high-grade stenosis of the proximal tract of the SMA. Immediate option for endovascular therapy was made, and a MARIS self-expandable 6x40 mm stent was positioned. The patient was discharged 2 days after with full recovery from the symptoms.
Results
Control angiography showed the correct apposition of the stent and regular flow inside. The patient was symptom free 12 months later.
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This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Fiengo, L., Paciotti, C., Patrizi, G. et al. Endovascular repair for acute mesenteric ischemia: case report. BMC Geriatr 11 (Suppl 1), A17 (2011). https://doi.org/10.1186/1471-2318-11-S1-A17
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DOI: https://doi.org/10.1186/1471-2318-11-S1-A17