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Vascular and Endovascular Surgery
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Endovascular Repair of Traumatic Superior Mesenteric Artery to Splenic Vein Fistula

Haitham Al-Khayat, MD

Department of Surgery, Ryder Trauma Center, University of Miami School of Medicine, Miami, Florida, halkhayat{at}yahoo.com

Hani H. Haider, MD

Department of Surgery, Ryder Trauma Center, University of Miami School of Medicine, Miami, Florida

Abdullah Al-Haddad, MD

Department of Surgery, Ryder Trauma Center, University of Miami School of Medicine, Miami, Florida

Hisham Al-Khayat, MD

Department of Surgery, Ryder Trauma Center, University of Miami School of Medicine, Miami, Florida

Enrique Ginzburg, MD

Department of Surgery, Ryder Trauma Center, University of Miami School of Medicine, Miami, Florida

Traumatic mesenteric arterioportal fistulas (APF) are rare but serious and life-threatening. This article reports the case of a 24-year-old female who suffered a gunshot wound to the abdomen and subsequently developed a superior mesenteric artery (SMA) pseudoaneurysm and APF, which caused secondary right heart failure and pulmonary hypertension. The patient underwent a successful endovascular stent-graft exclusion of the pseudoaneurysm/APF. The patient was asymptomatic 18 months post procedure and leading an active life with a normal arterial flow in the SMA confirmed by duplex ultrasonography.

Key Words: arterioportal fistula • endovascular stent-graft • pseudoaneurysm

Vascular and Endovascular Surgery, Vol. 41, No. 6, 559-563 (2008)
DOI: 10.1177/1538574407305022
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