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http://dx.doi.org/10.5090/kjtcs.2013.46.2.146

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)
Publication Information
Journal of Chest Surgery / v.46, no.2, 2013 , pp. 146-149 More about this Journal
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
Cardiovascular diseases; Chronic mesenteric ischemia; Superior mesenteric artery; Bypass; Surgery;
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