Acute dissection of the middle colic artery immediately after endovascular abdominal aortic aneurysm repair: A case report

A 78-year-old man underwent endovascular abdominal aortic aneurysm repair (EVAR) for a true aortic aneurysm. He developed sudden abdominal pain four hours after EVAR. Angiography revealed a dissected aneurysm of the middle colic artery (MCA). Despite conservative treatment, follow-up computed tomography revealed an expanded aneurysm of the MCA. We therefore performed coil embolization of the dissected MCA to prevent a rupture of the aneurysm. There has never been a reported case of acute dissection of the MCA immediately after EVAR that was not caused by catheters.

Source: Annals of Vascular Surgery - February 22, 2019 Category: Surgery Authors: Kota Jojima, Eijiro Nogami, Kota Shimauchi, Akito Kuwano, Takahiro Kitsuka, Yousuke Mukae, Akira Furutachi, Manabu Itou, Junji Yunoki, Masanori Takamatsu, Atsuhisa Tanaka, Takahiro Nishida Tags: Case Report Source Type: research