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Symptomatic Delayed Aortic Dissection After Superior Mesenteric Artery Stenting for Chronic Mesenteric Ischemia

机译:慢性肠系膜缺血的优质肠系膜动脉后症状延迟主动脉夹层

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摘要

Chronic mesenteric ischemia most commonly occurs secondary to atherosclerotic disease of the mesenteric arteries. Patients are often older than 60 years and can present with postprandial abdominal pain, nausea, diarrhea, and significant weight loss. Symptomatic disease has traditionally been managed with open surgical repair, but endovascular strategies, such as percutaneous angioplasty and stenting, have emerged as the mainstays of therapy. Complications from stenting include plaque embolization, thrombosis, perforation, or dissection of the mesenteric arteries. We present a patient with symptomatic acute aortic dissection 18 months after celiac and superior mesenteric artery stent placement for chronic mesenteric ischemia.
机译:慢性肠系膜缺血最常发生肠系膜动脉的继发性次要。 患者往往超过60岁,并且可以呈现餐后腹痛,恶心,腹泻和重量损失。 传统上具有开放的手术修复的症状疾病,但血管内策略(例如经皮血管成形术和支架)都被出现为治疗的主体。 支撑的并发症包括蛋白质动脉的斑块栓塞,血栓形成,穿孔或解剖。 我们患有18个月后患有症状急性主动脉夹层的患者,乳糜泻和高级肠系膜动脉支架进行慢性肠系膜缺血。

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