H.Y. Zhang , D.Z. Chai , W.G. Fu , Y.Q. Wang , J. Yang , Z.H. Dong , Y. Shi , X. Xu
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Abstract
Introduction
Complications of Takayasu's arteritis are usually ischemia of certain organs caused by progressive arterial narrowing, while dilative lesions or formation of aneurysms are relatively uncommon.
Report
A 43-year-old man with the chief compliant of abdominal discomfort underwent an enhanced computed tomography scan which showed a 30 mm × 23 mm superior mesenteric artery aneurysm. Because of the acute downward angulation of the superior mesenteric artery and inappropriateness for larger sheath placement brachial arteries, the aneurysm was excluded with a stent-graft via the common carotid artery approach.
Discussion
Stent-graft implantation through the common carotid artery is a feasible approach for the endovascular treatment of superior mesenteric artery aneurysms when unfavorable anatomic limits exist.
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