Isolated Dissection of the Supramesenteric Artery and Conservative Treatment

Takatsugu Yamamoto, Koichiro Abe, Hajime Anjiki, Taro Ishii, Yasushi Kuyama, Hiroshi Kotake, Shigeru Furui


A 59-year-old male with hypertension admitted to our hospital because of abdominal pain. Visceral angiography revealed stenosis of the supramesenteric artery due to isolated dissection. The symptom disappeared soon with conservative treatment, then he was discharged and prophylactic low-dose aspirin was initiated. Seven months later he underwent angiography again due to postprandial abdominal discomfort, which showed improvement of the stenosis. Conservative treatment with aspirin can be a choice in case of visceral artery dissection when ischemic symptoms do not exist.

J Med Cases. 2012;3(2):153-154


Supramesenteric artery; Dissection; Conservative treatment

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