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Endovascular Management of Superior Mesenteric Artery Pseudoaneurysm and Fistula |
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| Authors: | Govindarajan Narayanan Geetika Mohin Katuska Barbery Daniel Lamus Kunal Nanavati Jose M. Yrizarry |
| Affiliation: | (1) Department of Radiology, University of Miami/Jackson Memorial Hospital, 1611 NW 12th Avenue, Room WW 279, Miami, FL 33136, USA;(2) Department of Radiology, Jackson Memorial Hospital, 1611 NW 12th Street, Miami, FL 33136, USA;(3) Department of Radiology, University of Miami, 1611 NW 12th Avenue, Room WW 279, Miami, FL 33136, USA;(4) Resident of Department of Surgery, Jackson Memorial Hospital, 1611 NW 12th Avenue, Room WW 279, Miami, FL 33136, USA;(5) Department of Vascular/Interventional Radiology, University of Miami/Jackson Memorial Hospital, 1611 NW 12th Avenue, Room WW 279, Miami, FL 33136, USA |
| 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. |
| Keywords: | Endovascular treatment Arterioportal fistula Pseudoaneurysm |
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