Reconstructive surgery for segmental arterial mediolysis involving both the internal carotid artery and visceral arteries

Hideaki Obara; Kenji Matsumoto; Yoshiaki Narimatsu; Hitoshi Sugiura; Masaki Kitajima; Toshihiro Kakefuda

doi:10.1016/j.jvs.2005.11.033

Reconstructive surgery for segmental arterial mediolysis involving both the internal carotid artery and visceral arteries

Hideaki Obara, Kenji Matsumoto, Yoshiaki Narimatsu, Hitoshi Sugiura, Masaki Kitajima, Toshihiro Kakefuda

Department of Surgery (General and Gastroenterological Surgery)

Research output: Contribution to journal › Article › peer-review

39 Citations (Scopus)

Abstract

Segmental arterial mediolysis (SAM) is a rare, nonatherosclerotic, noninflammatory arteriopathy. A 52-year-old man with sudden hemiparesis of the right side was found to have an aneurysm of the left internal carotid artery and concomitant multiple aneurysms of the extrahepatic, celiac, and superior mesenteric arteries. Reconstructive operations using autologous vein graft were performed to treat the aneurysms. The histopathology analyses of resected arterial and aneurysmal specimens showed characteristics consistent with SAM. To our knowledge, a successfully treated case of SAM affecting both the carotid artery and visceral arteries has not previously been described.

Original language	English
Pages (from-to)	623-626
Number of pages	4
Journal	Journal of Vascular Surgery
Volume	43
Issue number	3
DOIs	https://doi.org/10.1016/j.jvs.2005.11.033
Publication status	Published - 2006 Mar

ASJC Scopus subject areas

Surgery
Cardiology and Cardiovascular Medicine

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10.1016/j.jvs.2005.11.033

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abstract = "Segmental arterial mediolysis (SAM) is a rare, nonatherosclerotic, noninflammatory arteriopathy. A 52-year-old man with sudden hemiparesis of the right side was found to have an aneurysm of the left internal carotid artery and concomitant multiple aneurysms of the extrahepatic, celiac, and superior mesenteric arteries. Reconstructive operations using autologous vein graft were performed to treat the aneurysms. The histopathology analyses of resected arterial and aneurysmal specimens showed characteristics consistent with SAM. To our knowledge, a successfully treated case of SAM affecting both the carotid artery and visceral arteries has not previously been described.",

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AU - Obara, Hideaki

AU - Matsumoto, Kenji

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AU - Sugiura, Hitoshi

AU - Kitajima, Masaki

AU - Kakefuda, Toshihiro

PY - 2006/3

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AB - Segmental arterial mediolysis (SAM) is a rare, nonatherosclerotic, noninflammatory arteriopathy. A 52-year-old man with sudden hemiparesis of the right side was found to have an aneurysm of the left internal carotid artery and concomitant multiple aneurysms of the extrahepatic, celiac, and superior mesenteric arteries. Reconstructive operations using autologous vein graft were performed to treat the aneurysms. The histopathology analyses of resected arterial and aneurysmal specimens showed characteristics consistent with SAM. To our knowledge, a successfully treated case of SAM affecting both the carotid artery and visceral arteries has not previously been described.

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Reconstructive surgery for segmental arterial mediolysis involving both the internal carotid artery and visceral arteries

Abstract

ASJC Scopus subject areas

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