Academic Journal

Endovascular Repair of Superior Mesenteric Arteriovenous Fistula Causing Early Mesenteric Steal Syndrome Following Abdominal Gunshot Injury

Bibliographic Details
Title:	Endovascular Repair of Superior Mesenteric Arteriovenous Fistula Causing Early Mesenteric Steal Syndrome Following Abdominal Gunshot Injury
Authors:	Lucy D. Miller, Nicholas J. Hilliard, Simon J.F. Harper
Source:	EJVES Short Reports, Vol 39, Iss , Pp 58-60 (2018)
Publisher Information:	Elsevier, 2018.
Publication Year:	2018
Collection:	LCC:Surgery LCC:Diseases of the circulatory (Cardiovascular) system
Subject Terms:	Surgery, RD1-811, Diseases of the circulatory (Cardiovascular) system, RC666-701
More Details:	Introduction: Superior mesenteric arteriovenous fistulae (SMAVF) are rare, usually secondary to trauma or iatrogenic injury and typically present sometime after the initial insult. Report: A 30 year old male underwent immediate laparotomy for abdominal gunshot injury. The small bowel mesentery contained a large haematoma and a palpable thrill. CT demonstrated a large SMAVF. At re-look laparotomy, small bowel ischaemia was noted and following this endovascular SMA stent graft insertion was performed, with excellent angiographic and clinical results. Conclusion: The first report of immediate traumatic SMAVF leading to acute mesenteric steal syndrome and successful management with endovascular stent insertion is presented. Keywords: Arteriovenous fistula, Mesenteric ischaemia, Stents, Laparotomy
Document Type:	article
File Description:	electronic resource
Language:	English
ISSN:	2405-6553
Relation:	http://www.sciencedirect.com/science/article/pii/S2405655318300215; https://doaj.org/toc/2405-6553
DOI:	10.1016/j.ejvssr.2018.05.007
Access URL:	https://doaj.org/article/061096ce2005485bbc02a755dcf81b30
Accession Number:	edsdoj.061096ce2005485bbc02a755dcf81b30
Database:	Directory of Open Access Journals

More Details
ISSN:	24056553
DOI:	10.1016/j.ejvssr.2018.05.007
Published in:	EJVES Short Reports
Language:	English