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A Single Retrograde Revascularization onto the Superior Mesenteric Artery Using an Artificial Graft for Abdominal

Ai Tochikubo1, Shinji Abe1, Tomoji Yamakawa1

  • 1Department of Cardiovascular Surgery, Kin-ikyo Central Hospital, Sapporo, Japan.

Annals of Vascular Diseases
|April 24, 2018
PubMed

Insights

A 54-year-old man experienced postprandial pain due to severe visceral artery stenosis. Successful retrograde revascularization of the superior mesenteric artery relieved his abdominal angina symptoms.

Area of Science:

  • Vascular Surgery
  • Gastroenterology
  • Diagnostic Imaging

Background:

  • Chronic mesenteric ischemia, or abdominal angina, can cause significant postprandial pain.
  • Multivessel visceral artery stenosis is a challenging clinical presentation.

Observation:

  • A 54-year-old male presented with a month of progressive postprandial abdominal pain.
  • Computed tomography (CT) scan and angiography identified severe stenosis and calcification in the celiac, superior mesenteric, and inferior mesenteric arteries.

Findings:

  • The patient was diagnosed with abdominal angina secondary to severe visceral artery stenosis.
  • Retrograde revascularization of the superior mesenteric artery was successfully performed using an artificial graft.

Implications:

  • Surgical revascularization can effectively alleviate symptoms in patients with severe visceral artery stenosis.
  • This case highlights the importance of comprehensive vascular imaging for diagnosing abdominal angina.

Keywords:
abdominal anginaretrograde revascularization

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