Ascending aorta-common hepatic artery bypass for mesenteric revascularization

Area of Science:

• Vascular Surgery
• Interventional Cardiology
• Gastroenterology

Background:

• Chronic aortic occlusion typically affects the infrarenal aorta.
• This case presents a rare suprarenal aortic occlusion involving the superior mesenteric artery and celiac artery.

Purpose of the Study:

• To describe a novel surgical approach for extensive aortic occlusion.
• To evaluate the efficacy of an antegrade bypass from the ascending aorta to the common hepatic artery.

Main Methods:

• A 59-year-old patient with uremia and anorexia underwent CT, revealing extensive thoracoabdominal aortic occlusion.
• An antegrade bypass was performed from the ascending aorta to the common hepatic artery.

Main Results:

• The patient experienced an uneventful recovery and postoperative course.
• Ascending aorta to common hepatic artery bypass proved effective for visceral revascularization.

Conclusions:

• Ascending aorta serves as an excellent inflow source for mesenteric artery revascularization in extensively occluded aortas.
• Common hepatic artery is a feasible outflow for chronic mesenteric ischemia (CMI) revascularization.