Current Approaches for Mesenteric Ischemia and Visceral Aneurysms

Oonagh H Scallan; Audra A Duncan

doi:10.1016/j.suc.2023.04.017

Current Approaches for Mesenteric Ischemia and Visceral Aneurysms

Surg Clin North Am. 2023 Aug;103(4):703-731. doi: 10.1016/j.suc.2023.04.017. Epub 2023 May 29.

Authors

Oonagh H Scallan¹, Audra A Duncan²

Affiliations

¹ Division of Vascular and Endovascular Surgery, Western University, 800 Commissioners Road East, PO Box 5010, London, Ontario N6A 5W9, Canada.
² Division of Vascular and Endovascular Surgery, Western University, 800 Commissioners Road East, PO Box 5010, London, Ontario N6A 5W9, Canada. Electronic address: [email protected].

PMID: 37455033
DOI: 10.1016/j.suc.2023.04.017

Abstract

This article provides an overview of acute mesenteric ischemia, chronic mesenteric ischemia, and visceral aneurysms, with a focus on treatment. Acute mesenteric ischemia can be a challenging diagnosis. Early recognition and adequate revascularization are key to patient outcomes. Chronic mesenteric ischemia is a more insidious process, typically caused by atherosclerosis. Various options for revascularization exist, which must be tailored to each patient. Visceral aneurysms are rare and the natural history is not well defined. However, given the risk of rupture and high mortality, treatment may be complex.

Keywords: Acute; Chronic; Endovascular; Mesenteric ischemia; Treatment; Visceral aneurysms.

Publication types

Review

MeSH terms

Aneurysm* / diagnosis
Aneurysm* / surgery
Chronic Disease
Humans
Ischemia
Mesenteric Ischemia* / diagnosis
Mesenteric Ischemia* / etiology
Mesenteric Ischemia* / surgery
Mesenteric Vascular Occlusion* / therapy
Treatment Outcome
Vascular Surgical Procedures