A Rare Case of Dissecting Superior Mesenteric Artery Aneurysm in Granulomatosis with Polyangiitis

被引：0
|
作者：
Tanaka, Shinichi [1 ,2 ]
Ohmine, Takahiro
Maeda, Takashi
机构：
[1] Hiroshima Red Cross Hosp, Dept Surg, 1-9-6 Sendamachi,Naka Ku, Hiroshima, Hiroshima 7308619, Japan
[2] Atom Bomb Survivors Hosp, Dept Surg, 1-9-6 Sendamachi,Naka Ku, Hiroshima, Hiroshima 7308619, Japan
来源：
ANNALS OF VASCULAR DISEASES | 2023年 / 16卷 / 04期
关键词：
superior mesenteric artery aneurysm; granulomatosis with polyangiitis; stent-graft; WEGENERS-GRANULOMATOSIS; MANAGEMENT;
D O I：
10.3400/avd.avd.cr.23-00050
中图分类号：
R6 [外科学];
学科分类号：
1002 ; 100210 ;
摘要：
An asymptomatic dissecting superior mesenteric artery (SMA) aneurysm in granulomatosis with polyangiitis (GPA), historically termed Wegener's granulomatosis, is rare. We herein describe a 68-year-old man who was diagnosed with GPA based on a high level of proteinase 3 (PR3)-antineutrophil cytoplasmic antibody (ANCA). One year after remission of GPA, the patient developed pyelonephritis, and his PR3-ANCA level increased again. Computed tomography showed a rapid increase in the size of the dissecting SMA aneurysm. The patient underwent successful endovascular stent-graft repair. At the time of this writing, 3 years had passed since the surgery and the clinical course was good.
引用
收藏
页码：269 / 272
页数：4
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