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Related Experiment Video

Updated: Mar 29, 2026

Multimodality Diagnosis of Mesenteric Ischemia

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

Extra-Anatomic Axillo-Mesenteric Reconstruction for Chronic Mesenteric Ischemia.

Lisa L Wang¹, Andrew M T L Choong², Alexandra Kovalic¹

¹Department of Vascular Surgery, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia.

Annals of Vascular Surgery

|November 25, 2015

Summary

Extra-anatomic axillo-mesenteric bypass offers a viable solution for chronic mesenteric ischemia when standard surgical and endovascular approaches are not feasible due to complex patient anatomy and comorbidities.

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Published on: October 20, 2023

Area of Science:

Vascular Surgery
Gastroenterology

Background:

Chronic mesenteric ischemia (CMI) management is challenging in patients with complex aortoiliac occlusive disease and thoracoabdominal aortic aneurysms.
Traditional endovascular and open surgical bypass options are often precluded by severe anatomical limitations and comorbidities.

Observation:

A case of CMI is presented where standard surgical and endovascular interventions were not possible.
Severe aortoiliac occlusive disease prohibited endovascular access and retrograde bypass.
A thoracoabdominal aortic aneurysm precluded standard antegrade bypass.

Findings:

An extra-anatomic axillo-mesenteric reconstruction was successfully performed.
This approach provided a robust and viable alternative for mesenteric revascularization.

Implications:

Axillo-mesenteric bypass represents a crucial alternative surgical technique for CMI.
This method expands treatment options for patients with challenging vascular anatomies.
It offers a potential solution for complex cases unsuitable for conventional therapies.