Superior Mesenteric Artery Aneurysm

Posted by meely @meely, Mar 11 3:37pm

I have an aneurysm in my SMA (Arc of Buhler specifically) with occluded celiac axis artery. 3 opinions say that surgery/stent is too risky so we’re monitoring. Surgery would involve a bypass. I know it’s extremely rare but wondered if anyone else has this? 67 year old otherwise healthy female.

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I have a celiac and a SMA aneurysm of significant sizes that my vascular specialists choose to watch but feel there will be no need to surgically repair.

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hello

61 y/o male-i have a celiac artery dissection and aneurysm that has been stable and am being monitored yearly with US doppler. would advise ensuring you are being monitored and evaluated at a tertiary care academic center where they see this condition more frequently by getting referrals as is somewhat unusual and there are different types of aneurysms too-mine is fusiform-dilated but my undertanding the saccular type is more serious.

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Profile picture for mjpisa @mjpisa

hello

61 y/o male-i have a celiac artery dissection and aneurysm that has been stable and am being monitored yearly with US doppler. would advise ensuring you are being monitored and evaluated at a tertiary care academic center where they see this condition more frequently by getting referrals as is somewhat unusual and there are different types of aneurysms too-mine is fusiform-dilated but my undertanding the saccular type is more serious.

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@mjpisa
Thanks so much. Mine is saccular. We are monitoring every 6 months. I am dealing with a Dr. here in Hawaii but will go to Stanford, hopefully, should surgery be required. How long have you had yours? I’m going on a year since detection.

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My aneurysm is fusiform (dilated vessel) with dissection. My diagnosis was intially missed on a routine ct scan after I had severe abdominal pain in 2017. I spent 2-3days in the hospital at that time and had an endoscopy and was assumed to have mild gastritis. I had another CT in 2023 for blood in urine and the aneurysm was detected and in retrospect was present in 2017 and stable. I suspect this was intially due to my inflamed gallbladder with some pancreatitis from gallstones in 2013. On the ct from that time there is mild inflammatory stranding around my celiac so I suspect it weakened the blood vessel. I have been stable with annual US doppler monitoring after my diagnosis in 2023. also, was treated for H. pylori which was detected on my endoscopy. it is my understanding that h. pylori infection can cause these aneurysms too especially the more saccular ones. Best wishes

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