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Abstract
This is a case report of management of a delayed mycotic superior mesenteric artery
aneurysm occurring in a patient 2 years after aortic valve replacement for endocarditis.
A chronic ulcer history, anticoagulation therapy, episodic gastrointestinal bleeding
associated with negative gastrointestinal series, and gastritis seen at endoscopy
delayed the ultimate diagnosis. An episode of massive hemorrhage precipitated angiography
with subsequent surgical confirmation of the diagnosis. Management included debridement
and extirpation of the major part of the aneurysm, Doppler assessment of the inadequacy
of collateral mesenteric arterial blood flow, and restoration of flow with a bypassing
saphenous vein graft segment. Although this technique of reconstruction has been suggested,
we can find no other report of such a similar case among the few reported surgical
successes with superior mesenteric artery mycotic aneurysm.
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Article info
Publication history
Accepted:
February 10,
1982
Identification
Copyright
© 1982 Published by Elsevier Inc.
