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Piggy-back mesenteric arterial reconstruction
J J Skillman1, D Orron, K C Kent
1Department of Surgery, Harvard Medical School, Boston, MA.
The Journal of Cardiovascular Surgery
|March 1, 1992
Abstract:
Reimplantation of stenotic or occluded visceral arteries into the aorta is one solution to symptomatic chronic visceral ischemia. We report a patient in whom the associated problem of small bowel infarction precluded prosthetic reconstruction and saphenous vein was unavailable. Reimplantation of the celiac artery into the aorta was combined with piggy-back reimplantation of the superior mesenteric artery into the side of the celiac artery to provide successful revascularization of the small bowel. A 16-month angiographic and 5-year clinical follow-up is provided.