Role of supraceliac aortic bypass in visceral artery reconstruction

Area of Science:

• Vascular Surgery
• Gastrointestinal Surgery
• Abdominal Aortic Surgery

Background:

• Celiac and superior mesenteric artery occlusive disease can lead to severe intestinal ischemia.
• Surgical revascularization is a critical treatment option for these conditions.
• Transabdominal, supraceliac bypass offers a potential approach for visceral artery reconstruction.

Purpose of the Study:

• To evaluate the safety and efficacy of transabdominal, supraceliac aortomesenteric bypass.
• To assess outcomes in patients undergoing this procedure for various indications, including intestinal ischemia.

Main Methods:

• Twelve patients underwent transabdominal, supraceliac aortomesenteric bypass.
• Procedures included aortoceliac, aortohepatic, and aortosuperior mesenteric artery bypasses, primarily using prosthetic grafts.
• Indications included intestinal ischemia (acute and chronic), arcuate ligament syndrome, thoracoabdominal aneurysm, and infected aortic stump blowout.

Main Results:

• One perioperative death occurred in a patient with severe comorbidities.
• One graft thrombosis requiring revision was noted during a mean follow-up of 26 months.
• The procedure was generally safe and effective for visceral revascularization.

Conclusions:

• Transabdominal, supraceliac aortomesenteric bypass is a viable and effective surgical option.
• It provides successful visceral revascularization for patients with complex aortomesenteric disease and associated complications.