Abstract Of 89 previously reported cases of patients with superior mesenteric artery aneurysm, which was predominantly mycotic, 15 have survived treatment. The second case of survival following operation for rupture of a nonsyphilitic or mycotic aneurysm of the superior mesenteric artery is reported. The aneurysm was located in the retropancreatic portion of the artery and "clip obliterative aneurysmorrhaphy" was the treatment employed. Abdominal apoplexy during an emotional crisis in a hypertensive woman aroused suspicion of visceral artery aneurysmal rupture. Prompt preoperative selective visceral angiography is advised in such circumstances. References 1. DeBakey ME, Cooley DA: Successful resection of mycotic aneurysm of the superior mesenteric artery . Am Surg 19:202-212, 1953. 2. Smith GW, Hill CH: Aneurysm of the branches of the abdominal aorta: Diagnosis, management and results . Surgery 61:509-514, 1967. 3. Poblacion D, et al: Mycotic aneurysm of the superior mesenteric artery, complicating SBE: Successful resection . Can Med Assoc J 90:744-745, 1969. 4. Thomas TV: Non-mycotic aneurysm of the superior mesenteric artery . Am Surg 35:492-496, 1969. 5. Hoehn JG, et al: Aneurysm of the mesenteric artery . Am J Surg 115:832-839, 1968.Crossref 6. McClelland RN, Duke JH: Successful resection of an idiopathic aneurysm of the superior mesenteric artery . Ann Surg 164:167-170, 1965.Crossref 7. Horton RE: Ruptured mycotic aneurysm of the superior mesenteric artery . Br J Surg 46:541-542, 1959.Crossref 8. Violago FC, Downs AR: Ruptured atherosclerotic aneurysm of the superior mesenteric artery with celiac axis occlusion . Ann Surg 174:207-210, 1971.Crossref 9. Tanna JF: Abdominal apoplexy . Am J Surg 73:132-136, 1946.Crossref 10. West JP: Aneurysm of the superior mesenteric artery successfully treated by restorative aneurysmorrhaphy . Ann Surg 140:882-885, 1954.Crossref 11. Katz B, Jacobson L: Aneurysm of the superior mesenteric artery successfully treated: Case report . Surgery 41:613-618, 1957. 12. Buchman RJ, Martin GW: Management of mycotic aneurysm of superior mesenteric artery . Ann Surg 155:620-622, 1962.Crossref 13. Alvares JF, Parsonnet V, Brief DK: Mycotic aneurysm of the superior mesenteric artery . Am J Surg 111:237-240, 1966.Crossref 14. Perlman M, Golinger D: Mycotic aneurysm of the superior mesenteric artery treated by ligation with survival . Br J Surg 54:735-737, 1967.Crossref 15. Frileux C, Kapandji IA, Julien JL: Rupture d'un anévrysme de l'artère mesentérique supérieure: Endo-anévrysmorraphie oblitérante. Guérison . Mem Acad Chir (Paris) 90:826-830, 1964. 16. Mandel SR, et al: Superior mesenteric artery aneurysm . Am Surg 37:293-297, 1971.
Archives of Surgery – American Medical Association
Published: Feb 1, 1974