scholarly journals Successful Treatment of Acute on Chronic Mesenteric Ischaemia by Common Iliac to Inferior Mesenteric Artery Bypass

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
D. N. Coakley ◽  
F. M. Shaikh ◽  
E. G. Kavanagh
Keyword(s):  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Artery Bypass ◽  
Celiac Artery ◽  
Mesenteric Arteries ◽  
Surgical Patient ◽  
Mesenteric Ischaemia ◽  
Atherosclerotic Stenosis ◽  
Vein Bypass ◽  
Chronic Mesenteric Ischaemia

Chronic mesenteric ischaemia is a rare and potentially fatal condition most commonly due to atherosclerotic stenosis or occlusion of two or more mesenteric arteries. Multivessel revascularisation of both primary mesenteric vessels, the celiac artery and superior mesenteric artery (SMA), is the current mainstay of treatment; however, in a certain cohort of patients, revascularisation one or both vessels may not be possible. Arteries may be technically unreconstructable or the patient may be surgically unfit for the prolonged aortic cross clamping times required. Here we present a case involving a 72-year-old woman with acute on chronic mesenteric ischaemia. She was a high risk surgical patient with severe unreconstructable stenotic disease of the SMA and celiac arteries. She was successfully treated with single vessel revascularisation of the inferior mesenteric artery (IMA) via a common iliac to IMA reversed vein bypass. At two-year follow-up, the graft remains patent and the patient continues to be symptom-free and is maintaining her weight.

Rupture prone aneurysm of the inferior mesenteric artery complicated by mid aortic syndrome with occluded celiac and superior mesenteric arteries

VASA ◽  
2011 ◽  
Vol 40 (1) ◽  
pp. 73-77 ◽  
Author(s):  
Werth ◽  
Rodionov ◽  
Hinterseher ◽  
Beyer-Westendorf ◽  
Stroszczynski ◽  
...  
Keyword(s):  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Bypass Graft ◽  
Celiac Trunk ◽  
Mesenteric Arteries ◽  
Vascular Pathology ◽  
Vein Bypass ◽  
Large Aneurysm ◽  
Vein Bypass Graft ◽  
Saphenous Vein Bypass Graft

We present the case of a 45-year-old male patient with a large aneurysm of the inferior mesenteric artery complicated by mid aortic syndrome with occlusion of the celiac trunk and superior mesenteric artery. The vascular pathology was detected by CT imaging after presentation and hospitalization with symptoms of acute cholecystitis. After resolve of the acute symptoms, the aneurysm was resected and the proximal inferior mesenteric artery interponated with a reversed saphenous vein bypass graft. Besides presenting this case we review the literature concerning the rare descriptions of inferior mesenteric artery aneurysms.

Postprandial lower limb pain: An unusual presentation of visceral arteries occlusion

Vascular ◽  
2014 ◽  
Vol 23 (3) ◽  
pp. 316-318 ◽  
Author(s):  
Nikolaos Patelis ◽  
Konstantinos Papoutsis ◽  
Dimitrios Liakopoulos ◽  
Andreas Koutsoumpelis ◽  
Christos Bakogiannis ◽  
...  
Keyword(s):  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Mesenteric Ischemia ◽  
Celiac Artery ◽  
Mesenteric Arteries ◽  
Lower Limbs ◽  
Chronic Mesenteric Ischemia ◽  
Time Curve ◽  
Lower Limb Pain ◽  
Visceral Arteries

This case report describes an atypical and unique presentation of mesenteric arteries occlusive disease. The patient presented with typical symptoms of chronic mesenteric ischemia, as well as with an atypical new symptom; postprandial buttock and lower limbs pain. Pain followed the time curve of the postprandial abdominal discomfort, starting 30 min after meals and gradually resolving within 2 h. The patient had been tolerating the signs of chronic mesenteric ischemia quite well by adjusting the quantity of food per meal to relieve symptoms. Angiography showed that the celiac artery, the superior mesenteric artery, and distal aorta were occluded, leaving the inferior mesenteric artery as the only feeding vessel of all abdominal viscera and both the lower limbs. Since an English medical literature search returned only one marginally similar case, we consider this case of iliac arteries’ “steal syndrome” from the inferior mesenteric artery unique.

Physician-Modified Endograft With Double Inner Branches for Urgent Repair of Supraceliac Para-Anastomotic Pseudoaneurysm

2019 ◽  
Vol 27 (1) ◽  
pp. 124-129 ◽  
Author(s):  
Mario D’Oria ◽  
Aleem K. Mirza ◽  
Emanuel R. Tenorio ◽  
Jussi M. Kärkkäinen ◽  
Randall R. DeMartino ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Superior Mesenteric Artery ◽  
Stent Graft ◽  
Mesenteric Artery ◽  
Artery Bypass ◽  
Celiac Artery ◽  
Mesenteric Arteries ◽  
Anastomotic Pseudoaneurysm ◽  
Thoracic Stent Graft

Purpose: To demonstrate the feasibility of a physician-modified endograft (PMEG) with inner branches for 2 mesenteric arteries as an alternative to fenestrations or directional branches. Technique: A symptomatic 60-year-old man presented with supraceliac para-anastomotic pseudoaneurysm involving an antegrade aorta to celiac artery and superior mesenteric artery bypass. Since an off-the-shelf multibranched endograft was inappropriate, a Zenith Alpha thoracic stent-graft was modified with 2 inner branches fashioned of 8-mm Viabahn endoprostheses with preloaded guidewires. The procedure was technically successful, and the patient had no postoperative complications. Conclusion: Inner branches might offer an alternative to fenestrations or directional branches in patients with narrow aortas.

Chronic mesenteric ischaemia: the importance of the individual mesenteric artery

2021 ◽  
Author(s):  
Christian Høyer ◽  
Mette Høgh Christensen ◽  
Jes Sandermann ◽  
Robert Leusink ◽  
Jan Abrahamsen
Keyword(s):  
Mesenteric Artery ◽  
Mesenteric Ischaemia ◽  
Chronic Mesenteric Ischaemia ◽  
The Individual

Occlusion of the celiac trunk, the inferior mesenteric artery and stenosis of the superior mesenteric artery in peripheral thrombangiitis obliterans

VASA ◽  
2009 ◽  
Vol 38 (4) ◽  
pp. 394-396 ◽  
Author(s):  
Çakmak ◽  
Gyedu ◽  
Akyol ◽  
İ. Kepenekçi ◽  
Köksoy
Keyword(s):  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Celiac Trunk ◽  
Occlusive Disease ◽  
Mesenteric Ischaemia ◽  
Buerger’S Disease ◽  
Buerger's Disease ◽  
Acute Mesenteric Ischaemia ◽  
Thrombangiitis Obliterans

Buerger‘s disease is an inflammatory occlusive disease which commonly involves medium-sized or smaller vessels of extremities. Mesenteric involvement in Buerger‘s disease is very rare. It can occur at any time during the course of the disease and presents with acute mesenteric ischaemia. In this study, a case of Buerger‘s disease with mesenteric involvement diagnosed before the onset of acute mesenteric ischaemia and managed endovascularly is reported.

Duplex ultrasound interpretation criteria for inferior mesenteric arteries

Vascular ◽  
2012 ◽  
Vol 20 (3) ◽  
pp. 145-149 ◽  
Author(s):  
Ali F AbuRahma ◽  
L Scott Dean
Keyword(s):  
Mesenteric Artery ◽  
Inferior Mesenteric Artery ◽  
Duplex Ultrasound ◽  
Mesenteric Arteries ◽  
Reasonable Accuracy ◽  
Diastolic Velocity ◽  
Interpretation Criteria ◽  
The Mean ◽  
Better Than ◽  
Mesenteric Arteriography

There is no specific duplex ultrasound (DUS) criteria for the diagnosis of inferior mesenteric artery (IMA) stenosis. This study will define the optimal duplex velocity values with the best overall accuracy (OA) in detecting ≥50% stenosis of the IMAs. Eighty-five IMAs with both DUS and mesenteric arteriography were analyzed. Eighty-five IMAs were examined: 45 were normal, 12 with <50% stenosis, eight with ≥50–69% stenosis and 15 with ≥70% stenosis (including occlusion) based on angiography. The mean peak systolic velocities (PSVs) for a normal IMA, <50% and ≥50% stenosis was 105, 215 and 392 cm/second, respectively ( P < 0.0001). The most accurate PSV in detecting ≥50% stenosis was ≥250 cm/second with a sensitivity of 90%, a specificity of 96% and an OA of 95%. The most accurate end-diastolic velocity (EDV) in detecting ≥50% stenosis was ≥80% or ≥90 cm/second, with an OA of 86%, a sensitivity of 60% and a specificity of 100%. The most accurate ratio in detecting ≥50% stenosis was ≥4 or ≥4.5 with an OA of 93%.Receiver operator curves analysis showed that the PSV was not better than EDV and PSV ratio in detecting ≥50% stenosis ( P = 0.1661 and 0.4568, respectively). In conclusion, specific IMA PSVs, EDVs and IMA/aortic systolic ratios can be used in detecting significant IMA stenosis with reasonable accuracy.

Satiating effect of bombesin is mediated by receptors perfused by celiac artery

1991 ◽  
Vol 261 (3) ◽  
pp. R614-R618 ◽  
Author(s):  
T. C. Kirkham ◽  
J. Gibbs ◽  
G. P. Smith
Keyword(s):  
Food Intake ◽  
Intraperitoneal Injection ◽  
Mesenteric Artery ◽  
Celiac Artery ◽  
Mesenteric Arteries ◽  
Male Rats ◽  
Liquid Food ◽  
Catheterization Technique ◽  
Direct Administration ◽  
Upper Abdominal

The abdominal site or sites for the satiety action of exogenous, peripherally administered bombesin (BN) were investigated. By use of a chronic arterial catheterization technique, the effects of 1, 2, and 4 micrograms/kg BN on liquid food intake of nondeprived male rats were assessed. Comparisons were made between the effects of these doses infused into the celiac or superior mesenteric arteries or injected intraperitoneally. The satiating potency of exogenous BN was significantly enhanced by direct administration into the celiac artery, which directly perfuses the stomach, pancreas, liver, spleen, and proximal duodenum. By this route, 4 micrograms/kg BN produced greater than 60% suppression of 15-min food intake. By contrast, BN infused into the superior mesenteric artery was no more effective than intraperitoneal injection. Celiac infusion of 1 micrograms/kg BN produced a suppression (30%) of intake that was equivalent to, or exceeded, that obtained after intraperitoneal injection or superior mesenteric infusion of 4 micrograms/kg. These results strongly support an upper abdominal, and possibly gastric, site for the satiety action of peripherally administered BN.

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