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Superior mesenteric artery aneurysm
Münevver Yüksel1, Fatih Islamoğlu, Unal Egeli
1Department of Cardiovascular Surgery, Ege University Medical Faculty, Izmir, Turkey.
Asian Cardiovascular & Thoracic Annals
|June 25, 2002
Summary
A mycotic aneurysm of the superior mesenteric artery caused by Streptococcus viridans was successfully treated with surgical resection and repair. The patient experienced a full recovery, remaining well for three years post-operation.
Area of Science:
- Vascular Surgery
- Infectious Diseases
- Gastroenterology
Background:
- Mycotic aneurysms are rare but serious vascular infections.
- Superior mesenteric artery aneurysms can present with non-specific abdominal symptoms.
Observation:
- A 38-year-old woman presented with epigastric pain, diarrhea, and weight loss.
- Surgical resection and primary repair of the superior mesenteric artery aneurysm were performed.
Findings:
- Pathology revealed degenerative atherosclerotic changes and vegetations.
- Microbiological studies identified Streptococcus viridans as the causative agent.
- The patient recovered well and remained asymptomatic at 3-year follow-up.
Implications:
- This case highlights the importance of considering infectious etiologies in arterial aneurysms.
- Successful surgical management and antibiotic therapy can lead to favorable outcomes.
- Early diagnosis and intervention are crucial for preventing catastrophic complications.