Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지
DOI QR코드

DOI QR Code

Isolated Bypass to the Superior Mesenteric Artery for Chronic Mesenteric Ischemia

  • Jun, Hee Jae (Department of Thoracic and Cardiovascular Surgery, Haeundae Paik Hospital, Inje University College of Medicine)
  • Received : 2012.10.08
  • Accepted : 2012.12.03
  • Published : 2013.04.05
Download PDF
⟨ Previous Next ⟩

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.

Keywords

References

  1. Hollier LH, Bernatz PE, Pairolero PC, Payne WS, Osmundson PJ. Surgical management of chronic intestinal ischemia: a reappraisal. Surgery 1981;90:940-6.
  2. McAfee MK, Cherry KJ Jr, Naessens JM, et al. Influence of complete revascularization on chronic mesenteric ischemia. Am J Surg 1992;164:220-4. https://doi.org/10.1016/S0002-9610(05)81074-8
  3. Foley MI, Moneta GL, Abou-Zamzam AM Jr, et al. Revascularization of the superior mesenteric artery alone for treatment of intestinal ischemia. J Vasc Surg 2000;32:37-47. https://doi.org/10.1067/mva.2000.107314
  4. Garetier M, Delluc C, Rousset J. Chronic mesenteric ischemia. Clin Res Hepatol Gastroenterol 2011;35:781-2. https://doi.org/10.1016/j.clinre.2011.09.001
  5. Park WM, Gloviczki P, Cherry KJ Jr, et al. Contemporary management of acute mesenteric ischemia: factors associated with survival. J Vasc Surg 2002;35:445-52. https://doi.org/10.1067/mva.2002.120373
  6. Oderich GS, Gloviczki P, Bower TC. Open surgical treatment for chronic mesenteric ischemia in the endovascular era: when it is necessary and what is the preferred technique? Semin Vasc Surg 2010;23:36-46. https://doi.org/10.1053/j.semvascsurg.2009.12.005
  7. Calderon M, Reul GJ, Gregoric ID, et al. Long-term results of the surgical management of symptomatic chronic intestinal ischemia. J Cardiovasc Surg (Torino) 1992;33:723-8.
  8. Kieny R, Batellier J, Kretz JG. Aortic reimplantation of the superior mesenteric artery for atherosclerotic lesions of the visceral arteries: sixty cases. Ann Vasc Surg 1990;4:122-5. https://doi.org/10.1007/BF02001365
  9. Baur GM, Millay DJ, Taylor LM Jr, Porter JM. Treatment of chronic visceral ischemia. Am J Surg 1984;148:138-44. https://doi.org/10.1016/0002-9610(84)90301-5
  10. Moneta GL, Taylor DC, Helton WS, Mulholland MW, Strandness DE Jr. Duplex ultrasound measurement of postprandial intestinal blood flow: effect of meal composition. Gastroenterology 1988;95:1294-301. https://doi.org/10.1016/0016-5085(88)90364-2
  11. Nicholls SC, Kohler TR, Martin RL, Strandness DE Jr. Use of hemodynamic parameters in the diagnosis of mesenteric insufficiency. J Vasc Surg 1986;3:507-10. https://doi.org/10.1016/0741-5214(86)90117-5
  12. Jager K, Bollinger A, Valli C, Ammann R. Measurement of mesenteric blood flow by duplex scanning. J Vasc Surg 1986;3:462-9. https://doi.org/10.1016/0741-5214(86)90109-6
  13. Cormier JM, Fichelle JM, Vennin J, Laurian C, Gigou F. Atherosclerotic occlusive disease of the superior mesenteric artery: late results of reconstructive surgery. Ann Vasc Surg 1991;5:510-8. https://doi.org/10.1007/BF02015274
  14. Gentile AT, Moneta GL, Taylor LM Jr, Park TC, McConnell DB, Porter JM. Isolated bypass to the superior mesenteric artery for intestinal ischemia. Arch Surg 1994;129:926-31. https://doi.org/10.1001/archsurg.1994.01420330040009
  15. Stanton PE Jr, Hollier PA, Seidel TW, Rosenthal D, Clark M, Lamis PA. Chronic intestinal ischemia: diagnosis and therapy. J Vasc Surg 1986;4:338-44. https://doi.org/10.1016/0741-5214(86)90226-0
  16. McMillan WD, McCarthy WJ, Bresticker MR, et al. Mesenteric artery bypass: objective patency determination. J Vasc Surg 1995;21:729-40. https://doi.org/10.1016/S0741-5214(05)80004-7

Cited by

  1. Coronary artery disease and mesenteric artery stenosis - Two sides of the same coin? - Long term prospective analysis vol.8, pp.4, 2013, https://doi.org/10.5582/irdr.2019.01087