American Journal of Cardiovascular Disease Research
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American Journal of Cardiovascular Disease Research. 2016, 4(2), 15-17
DOI: 10.12691/ajcdr-4-2-1
Open AccessCase Report

Superior Mesenteric Artery Thrombosis and Partial Dissection Managed Medically

Muhammad Azharuddin1, , Ananta Subedi1, Shil Patel1 and Sweta Chandra1

1Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ, USA

Pub. Date: September 01, 2016

Cite this paper:
Muhammad Azharuddin, Ananta Subedi, Shil Patel and Sweta Chandra. Superior Mesenteric Artery Thrombosis and Partial Dissection Managed Medically. American Journal of Cardiovascular Disease Research. 2016; 4(2):15-17. doi: 10.12691/ajcdr-4-2-1

Abstract

A 44-year old male presented to the ED complaining of abdominal pain. CT angiography of the abdomen showed thrombus extend from the proximal superior mesenteric artery (3 cm distal to the origin), with partial dissection of the superior mesenteric artery. He was given intravenous fluid and was started on intravenous heparin. All hypercoagulable workup was done to rule out the causes of thrombosis or dissection was negative. The patient’s abdominal pain was decreasing, and heparin was bridged with Coumadin. The patient was discharged to home, and advised to check INR regularly and follow up with the vascular surgery department. Conservative management is generally the preferred treatment. For more serious cases, aggressive approaches such as percutaneous endovascular stent placement or surgery would be considered.

Keywords:
vascular surgery superior mesenteric artery thrombosis dissection

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