Laparoscopic resection of a mycotic superior mesenteric artery aneurysm

William S Eubanks, MD, Xuedong Xu, MD, Alicia Eubanks, Rebecca Rowen, MD, Alan Wladis, MD. Florida Hospital

Mycotic superior mesenteric artery aneurysms are extremely rare. Mycotic aneurysms represent approximately 50% of all superior mesenteric artery aneurysms (SMAAs). The majority of mycotic SMAAs are associated with recent infective endocarditis. Patients may present with fever, significant and progressive abdominal pain, and a pulsatile abdominal mass. Untreated mycotic aneurysms have a reported mortality rate of up to 67%, usually due to rupture. No prior published reports of laparoscopic resection of mycotic SMAA were detected. This video demonstrates a successful laparoscopic resection of a mycotic superior mesenteric artery aneurysm

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