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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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The Journal of Cardiovascular Surgery 2000 Aprile;41(2):321-3

lingua: Inglese

Aneurysm of a jejunal branch of the superior mesenteric artery in a patient with Marfan’s syndrome

Goffi L., Chan R., Boccoli G., Ghiselli R., Saba V.

From the ­Clinica di ­Semeiotica e Metod­o­logia Chi­rur­gica Università ­degli ­Studi di ­Ancona - ­INRCA - ­Italy


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A ­case of ­post-trau­matic aneu­rysm of a jej­unal ­branch of the ­superior mes­en­teric ­artery in a ­patient ­with ­Marfan’s syn­drome is ­reported. ­Ascending ­aortic involve­ment is ­well ­known in ­Marfan’s syn­drome but no asso­ci­a­tion ­with vis­ceral ­artery aneu­rysms has ­been pre­vi­ously ­described. The ­blunt abdom­inal ­trauma pre­ceding the detec­tion of the aneu­rysm may ­have ­been the pre­cip­i­tating ­cause in a pre­dis­posed ­patient. ­Because of the ­high ­risk of rup­ture, aneu­rysms of the ­superior mes­en­teric ­artery ­branches ­should be ­treated. Exci­sion or liga­tion ­without ­restoring con­ti­nuity are the ­most ­common sur­gical pro­ce­dures; endo­vas­cular embol­iza­tion is an alter­na­tive ­option espe­cially in ­high ­risk ­patients.

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