Reimplantation of a Stenotic Inferior Mesenteric Artery for Chronic Visceral Artery Occlusion after Failed Bypass to the Superior Mesenteric Artery

Wakako Fukuda; Ikuo Fukuda; Takeshi Murakami; Yoshiaki Saito; Satoshi Taniguchi; Masahito Minakawa

doi:10.3400/avd.cr.19-00053

Reimplantation of a Stenotic Inferior Mesenteric Artery for Chronic Visceral Artery Occlusion after Failed Bypass to the Superior Mesenteric Artery

Ann Vasc Dis. 2019 Dec 25;12(4):559-561. doi: 10.3400/avd.cr.19-00053.

Authors

Wakako Fukuda¹, Ikuo Fukuda¹, Takeshi Murakami¹, Yoshiaki Saito¹, Satoshi Taniguchi¹, Masahito Minakawa¹

Affiliation

¹ Department of Cardiovascular Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan.

Abstract

The patient was a 71-year-old man complaining of postprandial abdominal pain and weight loss. Computed tomography angiography showed occlusion of the superior mesenteric artery and the celiac axis. The inferior mesenteric artery, supplying the mesenteric circulation, was stenotic at its origin. The patient had portal vein thrombosis and was diagnosed as having antiphospholipid antibody syndrome. The reimplantation of the inferior mesenteric artery was successfully performed after failed bypass grafting to the superior mesenteric artery from the abdominal aorta.

Keywords: abdominal angina; inferior mesenteric artery; mesenteric ischemia.