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| Scientific Articlecan occur at 1-week, 1-month,6-month and 12-month intervals,although insufficient data existsregarding the rate of recurrence.As this condition is extremelyrare and the rate of recurrence isunknown the absolute necessity ofpostoperative follow-up is unknown;however, continued monitoring issuggested to ensure patient safety.ConclusionSMAA is a rare condition witha nonspecific clinical picture.Mycotic aneurysms constitute themost common type of SMAA andfrequently result from infectiveendocarditis. SMAAs are associatedwith significant rates of morbidityand mortality, usually secondaryto rupture. Imaging studies, suchas CT scanning, MRI, and MRA arefundamental to identify SMAAspreoperatively. Surgical resectionis recommended for those patientswho are hemodynamically stable,but in patients who are poorcandidates for surgery, endovascularintervention may be useful.References1. DeBakey M, Cooley D. Successfulresection of mycotic aneurysm of superiormesenteric artery: case report and reviewof the literature. Am Surg 1953;19:202-212.2. Rutherford, Robert et al, (Ed), VascularSurgery 6th Ed., Philadelphia : ElsevierSaunders, 2005, p1565-15663. Zelenock GB, Stanley JC. SplanchnicArtery Aneurysms. R.B. Vascular Surgery5th ed. 2000 Philadelphia: WB Saunders.Pages 1369-82.4. Stone WM, Abbas M et al. SuperiorMesenteric Artery Aneurysms: Is PresenceAn Indication For Intervention? J VascSurg. 2002;36: 234-7.5. Kopatsis A, D’Anna JA et al. SuperiorMesenteric Artery Aneurysm: 45 YearsLater. Am Surg. 1998;64:263-6.6. Liao WP, Loh CH, Wang HP. MycoticAneurysm of Superior Mesenteric ArteryBranch Presenting as Pulsatile AbdominalMass. Am J Emerg Med. 2006;24(1):128-9.7. 20) Fowler V, et al. Cardiovascularinfections.RB Principles and Practices ofInfectious Diseases 6th edition. MandellGL. Pages 1005-9.8. Vasquez JC, Montesinos E. Surgicalmanagement of giant superior mesentericartery aneurysm. Ann Vasc Surg. 2007Mar; 21(2):219-219. Zimmerman-Klima PM, Wixon CL, BogeyWM, Jr, et al.:Considerations in themanagement of aneurysm of the superiormesenteric artery. Ann Vasc Surg2000;14:410-414.10. Tessier DJ, Abbas MA, Fowl RJ.Management of rare mesenteric arterialbranch aneurysms. Annals of VascularSurgery 2002;16:586-590.11. Lee WA. Superior mesenteric arteryaneurysm reconstruction. J Vasc Surg2003;37:1131.12. Sohn MF, Stonerock CE, Dalsing MC.Multiple giant superior mesenteric arterybranch aneurysms. Ann Vasc Surg. 2007May;21(3):280-3.13. Tolga Muftuoglu MA, Aktekin A, Gurleyik G,et al. A ruptured aneurysm of superiormesenteric artery to duodenum andreconstruction with saphenous vein graph.Eur J Vasc Endovasc Surg 2003;25(6):590-1.14. Lorelli DR, Cambria RA et al. Diagnosisand Management of Aneurysms Involvingthe Superior Mesenteric Artery and ItsTo learn more, call 877-259-9272 or visit healthcare.goarmy.com/l480.November/December 2010 | Vol. 106 13