Successful Percutaneous Transluminal Angioplasty for Superior Mesenteric Artery Occlusion Resulted in Avoidance of Laparotomy
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概要
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Superior mesenteric artery occlusion (SMAO) remains a challenge to those involved in its diagnosis and treatment. We report a case of SMAO improved by percutaneous transluminal angioplasty (PTA) without laparotomy. A 77-year-old man with hypertension, atrial fibrillation, angina pectoris and arteriosclerotic obliteration was admitted for epigastralgia and vomiting. Abdominal CT revealed complete occlusion of the SMA. Six hours after onset of this complaint, abdominal angiography was conducted to dilate the occlusive artery with balloon catheter. Immediately after the treatment, the embolic occlusion and symptoms resolved. The patient recovered well without laparotomy and was discharged 2 weeks later. The present case and a review of literature suggest that this treatment will be useful for achieving rapid and sufficient revascularization in SMAO if instituted within early times after the onset of embolic occlusion.
- 一般社団法人 日本救急医学会の論文
一般社団法人 日本救急医学会 | 論文
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