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Updated: Sep 10, 2025

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Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
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Thinking outside the box: Axillary to superior mesenteric artery bypass for chronic mesenteric ischemia
Austin R Nelson1, Justin M Robbins1, Jonathan Velasco2
1Boonshoft School of Medicine, Department of Surgery, Wright State University, Dayton, OH.
Journal of Vascular Surgery Cases and Innovative Techniques
|August 21, 2025
Summary
A rare axillary to superior mesenteric artery bypass successfully treated chronic mesenteric ischemia in an elderly patient. This open surgical approach offered a viable solution when traditional methods were not feasible due to extensive disease.
Area of Science:
- Vascular Surgery
- Abdominal Surgery
- Interventional Cardiology
Background:
- Chronic mesenteric ischemia (CMI) management typically involves endovascular or open surgical revascularization.
- Traditional open surgical approaches for CMI can be limited by extensive aortoiliac occlusive disease.
- Axillary to superior mesenteric artery (SMA) bypass is an infrequently reported surgical option for CMI.

