PMC6593139_01
Post-dissection aneurysm of the superior mesenteric artery with collapse of the true lumen and involvement of the ileal arteries in the aneurysm sac.
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A computed tomography angiogram (CTA) revealed a solitary and complex 3.3 cm dissecting aneurysm of the SMA (Fig. 1) and post-dissection mild dilatation (1.8 cm) of the coeliac trunk.
Aneurysm exclusion with coiling of the false lumen and recanalisation of the true lumen with a proximal stent graft and a distal bare metal stent.
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Final angiography confirmed the technical success of the procedure (Fig. 2).
Assessment of stent patency and the exclusion of the aneurysm sac with contrast enhanced ultrasound. SMA = superior mesenteric artery.
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The Netherlands) confirmed the successful exclusion of the aneurysm at discharge and at three month follow up (Fig. 3). The patient has remained free of symptoms since the procedure and CTA is planned at six months.