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

DOI Web Site 参考文献9件 オープンアクセス
  • Yoshimura Yusuke
    Department of Cardiovascular Surgery, Nippon Medical School Musashikosugi Hospital
  • Sakamoto Shun-Ichiro
    Department of Cardiovascular Surgery, Nippon Medical School Musashikosugi Hospital
  • Hiromoto Atushi
    Department of Cardiovascular Surgery, Nippon Medical School Musashikosugi Hospital
  • Murata Tomohiro
    Department of Cardiovascular Surgery, Nippon Medical School Musashikosugi Hospital
  • Suzuki Kenji
    Department of Cardiovascular Surgery, Nippon Medical School Musashikosugi Hospital
  • Yasui Daisuke
    Department of Radiology, Nippon Medical School Musashikosugi Hospital
  • Mizutani Satoshi
    Department of Digestive Surgery, Nippon Medical School Musashikosugi Hospital
  • Ishii Yosuke
    Department of Cardiovascular Surgery, Nippon Medical School

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<p>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.</p>

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