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Mesenteric artery embolization by an unsuspected aortic tumor: Diagnostic evaluation and operative management
Author(s) -
Guyton Daniel P.,
Grosen Elizabeth,
AlMoasses Ghassan,
Archer Bernard,
York Charles,
Peralta Modesto,
Schreiber Helmut,
Foulis Philip
Publication year - 1987
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.2930360307
Subject(s) - medicine , embolectomy , embolization , radiology , embolus , superior mesenteric artery , angioscopy , embolism , surgery , pulmonary embolism
Malignant tumor embolus recovered at the time of superior mesenteric artery embolectomy is an uncommon experience. A report of such a case is presented and the literature is reviewed. In this clinical setting, guidelines for further diagnostic evaluation are not well defined. We suggest an algorithm for the evaluation and management of these patients. In the near future, use of intraoperative angioscopy and the intravascular laser to eradicate the tumor may represent the optimal method of treatment.