Successful surgical management of a suspected high-flow inferior mesenteric artery aneurysm in a patient with chronic celiac and superior mesenteric artery occlusions

被引：1

作者：

Dreksler, Hannah ^{[1
]}

Nagpal, Sudhir K. ^{[1
,2
]}

Hajjar, George ^{[1
,2
]}

Roberts, Derek J. ^{[1
,2
,3
,4
]}

机构：

[1] Univ Ottawa, Dept Surg, Div Vasc & Endovasc Surg, Ottawa, ON, Canada

[2] Ottawa Hosp, Ottawa Hosp Res Inst, Clin Epidemiol Program, Civ Campus,Rm A280,1053 Carling Ave, Ottawa, ON K1Y 4E9, Canada

[3] Univ Ottawa, Fac Med, Sch Epidemiol & Publ Hlth, Civ Campus,Rm A280,1053 Carling Ave, Ottawa, ON K1Y 4E9, Canada

[4] Univ Ottawa, Fac Med, Dept Surg, Div Vasc & Endovasc Surg, Civ Campus,Rm A280,1053 Carling Ave, Ottawa, ON K1Y 4E9, Canada

来源：

JOURNAL OF VASCULAR SURGERY CASES INNOVATIONS AND TECHNIQUES | 2024年 / 10卷 / 02期

关键词：

Celiac artery; Chronic mesenteric ischemia; Inferior mesenteric artery; Superior mesenteric artery; Visceral artery aneurysm;

D O I：

10.1016/j.jvscit.2024.101438

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Inferior mesenteric artery (IMA) aneurysms account for approximately 1% of visceral artery aneurysms and can occur secondary to high fl ow because of occlusive disease in other mesenteric arteries. We describe the case of a 79 -year -old man who presented with a 3.3 -cm IMA aneurysm and chronic total occlusions of the celiac artery and superior mesenteric artery (SMA). After an unsuccessful attempt at endovascular SMA recanalization, he underwent an uncomplicated retrograde aorta to SMA bypass and antegrade aorta to IMA bypass. We propose that an aorta to IMA bypass after SMA revascularization is safe and effective to treat suspected high - fl ow IMA aneurysms. (J Vasc Surg Cases Innov Tech 2024;10:101438.)

引用

页数：5

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