Superior mesenteric artery pseudoaneurysm following pancreaticoduodenectomy: management by endovascular stent-graft placement and transluminal thrombin injection

Cardiovasc Intervent Radiol. 2007 May-Jun;30(3):518-22. doi: 10.1007/s00270-006-0109-5.

Abstract

Superior mesenteric artery (SMA) pseudoaneurysm formation is a rare and potentially fatal postoperative complication. Herein we present a case of a large post-pancreaticoduodenectomy SMA pseudoaneurysm that required thrombin injection after initial stent-graft deployment to accomplish complete pseudoaneurysm occlusion.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / surgery
  • Aneurysm, False / diagnostic imaging
  • Aneurysm, False / surgery*
  • Angiography
  • Angioplasty*
  • Blood Vessel Prosthesis Implantation*
  • Combined Modality Therapy
  • Embolization, Therapeutic*
  • Female
  • Humans
  • Injections, Intralesional
  • Lymph Node Excision
  • Mesenteric Artery, Superior / diagnostic imaging
  • Mesenteric Artery, Superior / surgery*
  • Middle Aged
  • Pancreatic Neoplasms / surgery
  • Pancreaticoduodenectomy*
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / surgery*
  • Stents*
  • Thrombin / administration & dosage*
  • Tomography, X-Ray Computed

Substances

  • Thrombin