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Vasc Endovascular Surg. 2011 Apr;45(3):295-8. doi: 10.1177/1538574410389341. Epub 2011 Jan 28.

Spontaneous superior mesenteric artery dissection: report of 2 patients and review of management recommendations.

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  • 1Vascular Surgery, University of Kentucky, Lexington, KY 40536, USA.


Spontaneous superior mesenteric artery dissection is rare and presents with variable symptomatology. Optimal treatment depends on the presentation; asymptomatic patients can be managed expectantly. Endoluminal intervention or open reconstruction is warranted in patients with persistent symptoms or intestinal ischemia. As more of these patients are identified with increasing utilization of computed tomography (CT), our understanding of the pathophysiology and best treatment will improve.

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