ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Endovascular treatment of recurrent mesenteric ischemia after aortomesenteric bypass
Murat Günday1, Mehmet Özülkü1, Erdal Karagülle2, Erkan Yıldırım3, Özgür Çiftçi4
1Başkent Üniversitesi Tıp Fakültesi, Kalp ve Damar Cerrahisi Anabilim Dalı, Ankara, Türkiye
2Başkent Üniversitesi Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Ankara, Türkiye
3Başkent Üniversitesi Tıp Fakültesi, Radyoloji Anabilim Dalı, Ankara, Türkiye
4Başkent Üniversitesi Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Ankara, Türkiye
DOI : 10.5606/tgkdc.dergisi.2013.7376
A 71-year-old male patient was admitted to our clinic with abdominal pain, anorexia, nausea, vomiting and weight loss. Physical examination revealed abdominal tenderness and rebound with hypoactive bowel sounds. Abdominal computed tomography showed that the origin of the superior mesenteric artery and proximal was occluded at a 2-cm segment level. The patient underwent surgery due to the presence of acute abdominal findings and the judgment of the interventional radiologist regarding the unability to open the occlusion angiographically. It was bypassed between superior mesenteric artery and infrarenal aorta with a saphenous vein. Abdominal computed tomography was repeated at one month due to the recurrence of the patient complaints. Angiography was performed due to saphenous graft occlusion in tomography scan. A stent was placed in inferior mesenteric artery with the guide of angiography. The patient is normal except for vague abdominal pain in the first month of the procedure.
Keywords : Aortomesenteric bypass; chronic mesenteric ischemia; endovascular treatment
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