[Supraceliac anterograde revascularization of the visceral arteries]

Supraceliac revascularization of digestive (38 cases) and renal (12 cases) arteries, was performed in 50 patients between 1976 and 1982. Excluding acute ischemic lesions of the digestive arteries, and acute aortic thrombosis in one case, there was no postoperative mortality and only one case of late occlusion of an aortoceliac shunt. Short-and long-term follow-up examinations failed to reveal any morphologic or hemodynamic alterations. Implantation of the shunt in a zone that avoids the atheroma and the anterograde mode of revascularization appear to provide favorable results, this method being therefore competitive with conventional techniques.