Irie, Keiko Negoro, Makoto Hayakawa, Motoharu Hayashi, Junichi Kanno, TetsuoĪrterial dissection is now recognized as an important cause of stroke. Treatment of a spontaneous intracranial dissecting aneurysm with stent-assisted coil embolization Spontaneous coronary dissection should be recognized. The potential contributory role of topical hormonal therapy as a cause of After withdrawal from topical hormonal therapy, our patient has done well and has not had recurrent coronary artery dissections over a one-year follow-up period. The patient had no other risk factors for coronary dissection. We describe a 53-year-old female who developed two spontaneous coronary dissections while on topical hormonal replacement therapy. While topical hormonal replacement therapy may result in increased estrogen levels similar to those documented with oral contraceptive use, there are no reported cases of spontaneous coronary dissection with topical hormonal replacement Spontaneous Coronary Artery Dissection following Topical Hormone Replacement Therapyĭirectory of Open Access Journals (Sweden)Ĭoronary artery dissection is a rare condition, usually presenting as an acute coronary syndrome, and is often seen in states associated with high systemic estrogen levels such as pregnancy or oral contraceptive use.
However, for the complicated isolated SMA dissections, vascular reconstruction procedure with various techniques, including open surgery, is necessary in order to obtain satisfactory short-term results. without bowel ischemia or SMA rupture), excellent short-term results can be achieved by pure conservative treatment, even no anticoagulation needed. For most patients with SMA dissection, especially for simple Conclusion: With the wide use of computer tomography angiography and digital subtraction angiography, more and more isolated SMA dissections have been confirmed. After the treatment the abdominal pain was relieved in all ten patients. One patient wasĭivided into complicated group and had to receive an iliomesenteric bypass surgery after the patient had failed to respond to conservative treatment. Results: Nine patients were divided into simple group and received conservative treatment, of which anticoagulation was not employed in 5. The treatments for different type of SMA dissection were discussed and the results and prognosis were analyzed. According to the presence or absence of intestinal ischemic necrosis and SMA rupture, the patients were divided into simple group (n = 9) and complicated group(n = 1). 2010 in General Hospital of Chinese PLA and diagnosed as isolated SMA dissection,were Methods: The clinical data of ten patients, who were encountered during the period from Jan. Objective: To summarize the treatment strategies of isolated superior mesenteric artery ( SMA) dissection and to discuss the selection of therapeutic methods. Xu Yongle Xiong Jiang Guo Wei Liu Xiaoping Liu Meng
Therapeutic strategy for the treatment of isolated spontaneous dissection of superior mesenteric arteries We present two recent cases of spontaneous SMA dissection in which enhanced spiral CT was instrumental in following the disease process and guiding clinical decision making
CT has been reported to be useful for the initial diagnosis
Due to the scarcity of cases in the literature, the natural history of isolated, spontaneous SMA dissection is unclear. Currently, only 28 cases appear to have been reported. Spontaneous dissection of the superior mesenteric artery ( SMA) is a rare occurrence, especially when not associated with aortic dissection. International Nuclear Information System (INIS) Spontaneous Dissection of the Superior Mesenteric Artery Sample records for spontaneous sma dissection
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