Abstract
Introduction:
Synchronous embolism to the superior mesenteric artery (SMA) and coeliac axis (CA) is a rare disease.
Report:
A 67-year-old man with atrial fibrillation developed acute liver failure due to an embolic occlusion of the CA and SMA, with a severe coagulation disorder. He was successfully managed with percutaneous stent placement and an exploratory laparotomy was not needed. He remains symptom-free 1 year after the procedure, and duplex follow-up showed stent patency.
Conclusion:
Endovascular techniques in patients with liver failure, no signs of peritonism, early diagnosis and high operative risk seem feasible and should be used if possible, as first-line option.
Copyright © 2011 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.
MeSH terms
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Aged
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Angiography, Digital Subtraction
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Angioplasty, Balloon* / instrumentation
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Arterial Occlusive Diseases / diagnostic imaging
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Arterial Occlusive Diseases / etiology
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Arterial Occlusive Diseases / therapy*
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Atrial Fibrillation / complications*
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Celiac Artery* / diagnostic imaging
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Constriction, Pathologic
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Embolism / diagnostic imaging
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Embolism / etiology
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Embolism / therapy*
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Humans
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Ischemia / diagnostic imaging
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Ischemia / etiology
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Ischemia / therapy*
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Liver Failure, Acute / diagnostic imaging
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Liver Failure, Acute / etiology
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Liver Failure, Acute / therapy*
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Male
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Mesenteric Ischemia
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Mesenteric Vascular Occlusion / diagnostic imaging
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Mesenteric Vascular Occlusion / etiology
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Mesenteric Vascular Occlusion / therapy*
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Stents
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Tomography, X-Ray Computed
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Treatment Outcome
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Vascular Diseases / diagnostic imaging
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Vascular Diseases / etiology
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Vascular Diseases / therapy*