A Case of Chronic Mesenteric Ischemia: Complete Revascularization Using Multiple Procedures

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Yoshimura, Yusuke, Sakamoto, Shun-Ichiro, Hiromoto, Atushi, Murata, Tomohiro, Suzuki, Kenji, Yasui, Daisuke, Mizutani, Satoshi, Ishii, Yosuke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8752926/
https://www.ncbi.nlm.nih.gov/pubmed/35082952
http://dx.doi.org/10.3400/avd.cr.21-00109
Descripción
Sumario: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.

Ejemplares similares