Korean J Thorac Cardiovasc Surg.
2013 Apr;46(2):146-149. 10.5090/kjtcs.2013.46.2.146.
Isolated Bypass to the Superior Mesenteric Artery for Chronic Mesenteric Ischemia
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Haeundae Paik Hospital, Inje University College of Medicine, Korea. cs523@dreamwiz.com
- KMID: 1427811
- DOI: http://doi.org/10.5090/kjtcs.2013.46.2.146
Abstract
- Mesenteric ischemic symptoms appear only when two of the three major splanchnic arteries from the abdominal aorta are involved. Recently, we encountered a case of chronic mesenteric ischemia in a 50-year-old female patient caused by atherosclerotic obstruction of the celiac trunk and superior mesenteric artery. She was treated with a retrograde bypass graft from the right common iliac artery to the superior mesenteric artery (SMA) in a C-loop configuration. Complete revascularization is recommended for treatment of intestinal ischemia. When the celiac trunk is a not suitable recipient vessel, bypass grafting to the SMA alone appears to be both an effective and durable procedure for treating intestinal ischemia.
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