Рентгенология & Радиология, 2017, LVI 261-264

Acute embolic occlusion of superior mesenteric artery in a patient with prosthesis endocarditis

  1. Groudeva, Pl. Krastev, M. Nedevska

Abstract.

Acute thrombembolic occlusion of superior mesenteric artery (SMA) is a rare life threatening condition characterized by total occlusion of the artery with consequent bowel necrosis, with clinical presentation of mesenteric ischemia and bad prognosis for the patient. We present a case of acute thrombembolic occlusion of superior mesenteric artery in a patient with prosthetic endocarditis treated with interventional procedure – catheter based thrombectomy followed by angioplasty and stenting. Computed tomography in clinical practice allows earlier and more precise diagnosis of this disease Endovascular techniques and methods are safe and effective in the treatment of acute mesenteric ischemia. Therefore interventional procedures may serve as a good alternative to explorative laparotomy.

Key words: SUPERIOR MESENTERIC ARTERY (SMA). ACUTE MESENTERIC OCCLUSION. MESENTERIC ISCHEMIA. MDCT ANGIOGRAPHY. ENDOVASCULAR TREATMENT. BALLOON ANGIOPLASTY