| Literature DB >> 35082952 |
Yusuke Yoshimura1, Shun-Ichiro Sakamoto1, Atushi Hiromoto1, Tomohiro Murata1, Kenji Suzuki1, Daisuke Yasui2, Satoshi Mizutani3, Yosuke Ishii4.
Abstract
Chronic mesenteric ischemia (CMI) involving occlusion and/or stenosis of multiple mesenteric arteries is rare. We report our experience with a 66-year-old man who presented with a more than 3 months history of abdominal pain and vomiting/diarrhea. A diagnosis of CMI due to occlusion of the superior mesenteric artery (SMA) and severe stenosis of the celiac artery by median arcuate ligament syndrome was made. Complete revascularization through iliac artery-SMA bypass grafting and arcuate ligament dissection assisted with staged-catheter intervention successfully alleviated the patient's symptoms. The patient has maintained a normal daily diet for 6 months postoperatively.Entities:
Keywords: chronic mesenteric ischemia; median arcuate ligament; superior mesenteric artery bypass grafting
Year: 2021 PMID: 35082952 PMCID: PMC8752926 DOI: 10.3400/avd.cr.21-00109
Source DB: PubMed Journal: Ann Vasc Dis ISSN: 1881-641X