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Vascular surgery, cardiothoracic surgery Isolated superior mesenteric artery dissection (ISMAD) is a rare but potentially life-threatening condition that causes acute abdominal pain. It refers to a dissection that occurs solely in the superior mesenteric artery (SMA), typically spontaneously, and does not involve the aorta . [ 1 ]
Superior mesenteric artery (SMA) syndrome is a gastro-vascular disorder in which the third and final portion of the duodenum is compressed between the abdominal aorta (AA) and the overlying superior mesenteric artery. This rare, potentially life-threatening syndrome is typically caused by an angle of 6–25° between the AA and the SMA, in ...
In human anatomy, the superior mesenteric artery (SMA) is an artery which arises from the anterior surface of the abdominal aorta, just inferior to the origin of the celiac trunk, and supplies blood to the intestine from the lower part of the duodenum through two-thirds of the transverse colon, as well as the pancreas.
This is in contrast to superior mesenteric artery aneurysms which should be repaired regardless of size when they are discovered. [11] Popliteal artery. A popliteal artery aneurysm is an arterial aneurysm localized in the popliteal artery which courses behind the knee.
In limited studies following stenting, 97% of patients had improvement of symptoms by six months following the procedure, and long term follow-up showed no recurrence of symptoms after 66 months. Although less invasive, risks involved include incorrect placement of the stent as well as stent dislodging and migration to the right atrium.
Chronic mesenteric ischemia requires surgical revascularization and treatment like stents, transaortic endarterectomy, or bypassing the arteries. Abdominal angina often has a one-year delay between symptoms and treatment, leading to complications like malnutrition or bowel infarction.
The term mesenteric artery is also used to describe smaller branches of these vessels which, particularly in smaller animals, provide a significant source of vascular resistance. These branches have a dense innervation by sympathetic nerves, allowing the brain to control their diameter and hence the resistance to blood flow to the gut.
There are four mechanisms by which poor blood flow occurs: a blood clot from elsewhere getting lodged in an artery, a new blood clot forming in an artery, a blood clot forming in the superior mesenteric vein, and insufficient blood flow due to low blood pressure or spasms of arteries. [3] [6] Chronic disease is a risk factor for acute disease. [7]
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