The patient is currently being treated with oral anticoagulation. Results: AMI is most commonly caused by embolization to the superior mesenteric artery often from a cardiac thrombus. Other risk factors for AMI include age over 50, atrial fibrillation, valvular heart disease, and recent cardiac or vascular catheterization. In this case, we find a large thrombus in the distal thoracic aorta. The exact cause of thrombus formation is unknown. With the absence of a primary coagulopathy, and a background check details of uncontrolled hypertension, obesity, smoking, and oral contraceptive pill use, a multifactorial cause is the most likely etiology of the patients thrombus formation. Conclusion: cute mesenteric

ischemia and findings of a large thrombus in the distal thoracic aorta in young patient is not common. The key to treatment of these subset of patients, include early recognition, identification of risk factors and timely surgical exploration. Long-term care and follow-up requires a multi-disciplinary approach focusing on oral anticoagulation Daporinad nmr therapy for prevention of secondary events, nutritional support, and lifestyle modification. Key Word(s): 1. SMAE;

Presenting Author: LIHONG TAO Additional Authors: CAICHANG CHUN Corresponding Author: CAICHANG CHUN Affiliations: university of jiujiang Objective: Abdominal aortic aneurysm is generated by each of visceral artery and its branches for visceral artery aneurysms VAA, VAA Is a rare but serious threat to human health of vascular disease, the incidence rate of about 0.1% of the population to 2%, hepatic artery aneurysm is a rare, morbidity after splenic artery aneurysm, 上海皓元医药股份有限公司 accounting for about V A about 20% of A, much as extrahepatic type, more common in men, single, often asymptomatic, broken aneurysms can cause abdominal pain, jaundice, gastrointestinal bleeding or even death. Rupture of hepatic artery aneurysm, often caused by shock, if not timely rescue improper often endanger

life, mortality rates as high as 60%-70%. Methods: Patient male, 59 years old. Because of the “intermittent melena 1 month”. This patient due to being melena for 4 times in 1 month, every time is not much, seizures associated with total abdominal pain, vomiting 2 times for coffee juice, the amount is not much. Dizziness, without syncope. Consider the “upper gastrointestinal bleeding, gastric ulcer?” Results: He had gave the Omeprazole, blood transfusion therapy. Patients’s appetite was no bad, no weight loss. History: He has left kidney stones, blood pressure slightly higher. Riding a motorcycle injury, operation history of right lower limb fracture. No history of drug allergy. Auxiliary examination: Hunan Anren County Red Cross Hospital CT showed a pancreatic mass undetermined nature, right kidney with hydronephrosis. The experimental results of our hospital: enhanced CT showed 1: hepatic artery aneurysm with mural thrombus (size 3.59cmX3.