Endovascular management of superior mesenteric artery pseudoaneurysm and fistula

Govindarajan Narayanan, Geetika Mohin, Katuska Barbery, Daniel Lamus, Kunal Nanavati, Jose M. Yrizarry

Research output: Contribution to journalArticle

8 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)1239-1243
Number of pages5
JournalCardiovascular and Interventional Radiology
Volume31
Issue number6
DOIs
StatePublished - Nov 1 2008

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Keywords

  • Arterioportal fistula
  • Endovascular treatment
  • Pseudoaneurysm

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Narayanan, G., Mohin, G., Barbery, K., Lamus, D., Nanavati, K., & Yrizarry, J. M. (2008). Endovascular management of superior mesenteric artery pseudoaneurysm and fistula. Cardiovascular and Interventional Radiology, 31(6), 1239-1243. https://doi.org/10.1007/s00270-008-9354-0