Current Treatment Strategy for Spontaneous Isolated Dissection of the Superior Mesenteric Artery

Journal documents favorable early and late outcomes of initial conservative management for isolated SMA dissection in a relatively large series and clearly demonstrates some risk factors affecting long-term outcome by analyzing the detailed dimensions of the dissecting SMA on computed tomographic scans.Here, I will discuss the current therapeutic algorithm for this uncommon condition. Article p 1452This uncommon entity occurs mainly in middle-aged males solated arterial dissection can occur spontaneously in any part of the whole arterial system, but is uncommon. 1Spontaneous isolated dissection of the superior mesenteric artery (SMA) is also such a rare entity that there is not a definitive therapeutic guideline for it.In most cases, currently conservative treatment without any intervention is chosen as the first-line therapy, although open or endovascular interventions are attempted for a subset of persistently symptomatic or critical patients with ruptured SMA dissection or infarction of the bowels.However, the late outcome still remains unclear for lack of reports looking at it precisely, whether with conservative management or interventional treatment.Interestingly,