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Quantification of Mesenteric Blood Flow by Magnetic Resonance Flow Imaging in Patients with Arterial Dissection

Hiroaki Sasaki1, Yosuke Inoue1, Yoshiaki Watanabe2

  • 1Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.

Annals of Vascular Diseases
|July 6, 2019
PubMed

Insights

Mesenteric ischemia, a rare complication of aortic dissection, presents treatment challenges for non-critical cases. This study highlights advanced imaging for managing superior mesenteric artery ischemia.

Area of Science:

  • Vascular Surgery
  • Diagnostic Imaging
  • Gastroenterology

Background:

  • Mesenteric ischemia is a rare but serious complication of aortic dissection.
  • Treatment of non-critical symptomatic mesenteric ischemia without significant aortic narrowing is challenging.

Purpose of the Study:

  • To describe the management of two distinct cases of non-critical, symptomatic superior mesenteric artery ischemia.
  • To evaluate the utility of quantitative cine-phase contrast magnetic resonance imaging in assessing mesenteric blood flow.

Main Methods:

  • Case report of two patients with non-critical symptomatic mesenteric ischemia.
  • Utilized quantitative cine-phase contrast magnetic resonance imaging (MPC-MRI) for mesenteric blood flow assessment.
  • Intensive care management was provided.

Main Results:

  • Successfully managed two cases of non-critical superior mesenteric artery ischemia.
  • Quantitative MPC-MRI provided valuable data on mesenteric blood flow dynamics.
  • Demonstrated the feasibility of advanced imaging in complex mesenteric ischemia cases.

Conclusions:

  • Non-critical symptomatic mesenteric ischemia requires tailored management strategies.
  • Quantitative MPC-MRI is a useful tool for evaluating mesenteric blood flow in these challenging cases.
  • Further research into advanced imaging for mesenteric ischemia is warranted.
Keywords:
magnetic resonance imagingmalperfusion syndromesuperior mesenteric artery

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